Seth Thibodeau (NPI# 1538507561, PAC ID# 7012227440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1538507561 |
| PAC ID by PECOS | 7012227440 |
| Professional Enrollment ID | I20170721002409 |
| Full Name | Seth Thibodeau |
| Organization Legal Name | BLESSING HOSPITAL |
| Address |
1005 Broadway St Quincy IL 62301-2834 |
| Phone Number | 2172238400 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3072422534 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140015 | BLESSING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1005 Broadway St, Quincy, IL 62301-2834 | 2172238400 | BLESSING HOSPITAL |
| Organization Legal Name | BLESSING HOSPITAL |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Blakeman | Certified Registered Nurse Anesthetist (crna) | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Sharon Olson | Nurse Practitioner | Blessing Hospital | 936 Broadway St, Quincy, IL 62301-2731 |
| Angelo Llana Jr. | Internal Medicine | Blessing Hospital | 6000 Hospital Dr, Hannibal, MO 63401-6887 |
| Paula Scheetz Mackrides | Family Medicine | Blessing Hospital | 102 Prairie Mills Rd, Golden, IL 62339-1055 |
| David J Evelti | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Joseph V Meyer | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Mark Richard Baker | Emergency Medicine | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Robert Johnson | Radiation Oncology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Michael N Skaredoff | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Erin Lewellen | Nurse Practitioner | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Street Address |
1005 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip | 62301-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Blakeman | Certified Registered Nurse Anesthetist (crna) | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| David J Evelti | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Joseph V Meyer | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Mark Richard Baker | Emergency Medicine | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Robert Johnson | Radiation Oncology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Michael N Skaredoff | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Erin Lewellen | Nurse Practitioner | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Linh Thuy Nguyen | Anesthesiology | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Bruce N Stoops | Emergency Medicine | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Halyna Prokopiv | Internal Medicine | Blessing Hospital | 1005 Broadway St, Quincy, IL 62301-2834 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi E Ludwig | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Amanda Hubner | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Breanna Marie Schmitt | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Kirk G Gribler | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Diana J Franklin | Chiropractic | Franklin Total Wellness Center, LLC | 1201 N 24th St, Quincy, IL 62301-2232 |
| Brandon Anthony Bruening | Chiropractic | 1210 N 24th St, Quincy, IL 62301-2233 | |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| John R S Deguzman | Physical Medicine and Rehabilitation | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Duane Anthony Hanzel | Podiatry | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Joseph Lane | Family Medicine | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Find all physicians in zip 62301 | |||
| City | QUINCY |
| Zip Code | 62301 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | QUINCY + EMERGENCY MEDICINE |
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| 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.