Casey G Shupe (NPI# 1982867446, PAC ID# 6608029699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1982867446 |
| PAC ID by PECOS | 6608029699 |
| Professional Enrollment ID | I20121221000370 |
| Full Name | Casey G Shupe |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Address |
2202 Harlem Rd Suite 200 Loves Park IL 61111-2754 |
| Phone Number | 8158774848 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5597668004 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140290 | ST ALEXIUS MEDICAL CENTER |
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 7736653000 | MIDWEST ANESTHESIA PARTNERS LLC |
| 4501 N Winchester Ave, Chicago, IL 60640-5265 | 7732500000 | MIDWEST ANESTHESIA PARTNERS LLC |
| 1555 Barrington Rd, Hoffman Estate, IL 60169-1019 | 8478432000 | MIDWEST ANESTHESIA PARTNERS LLC |
| 1555 Barrington Rd, Suite 400, Hoffman Estates, IL 60169-5040 | 8475191600 | MIDWEST ANESTHESIA PARTNERS LLC |
| 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 8004325005 | MIDWEST ANESTHESIA PARTNERS LLC |
| 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 | 8158774848 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lenny G Kizhakepunnur | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Molly M Kelly | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Agata Reja | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1016 Featherstone Rd, Rockford, IL 61107-5902 |
| Vincent J Quinlan | Anesthesiology | Rockford Anesthesiologists Associated LLC | 900 N 2nd St, Rochelle, IL 61068-1764 |
| Kelly N Carroll | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Nathaniel J Schwartz | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Esther R Feder | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Rita K Bramley | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Daniel B Claunch | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Lisa P Solomon | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Street Address |
2202 HARLEM RD SUITE 200 |
| City | LOVES PARK |
| State | IL |
| Zip | 61111-2754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly M Kelly | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Aladino Deranieri | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| David B Rydberg | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Maria Laporta | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Kyle E Wilhite | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Lawrence D Mason | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Brian W Mecklenburg | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Paola A Pesantes | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Philip Lane | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| John E Szewczyk | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Michael D Kouimelis | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Brandon N Nierhoff | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Syed M Mohiuddin | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Muhammad Adnan Habib | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Jessica Knoll | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Jody M Ideran | Clinical Social Worker | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Erica S Cook | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Noah J Simon | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Taariq A Khan | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Find all physicians in zip 61111 | |||
| City | LOVES PARK |
| Zip Code | 61111 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LOVES PARK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Casey G Shupe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.