Brian Klostermann (NPI# 1144457169, PAC ID# 7517106354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144457169 |
| PAC ID by PECOS | 7517106354 |
| Professional Enrollment ID | I20130626000870 |
| Full Name | Brian Klostermann |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
12860 Troxler Ave Highland IL 62249-2806 |
| Phone Number | 6186512810 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 6185267271 | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| 12860 Troxler Ave, Highland, IL 62249-2806 | 6186512810 | HSHS MEDICAL GROUP INC |
| 12866 Troxler Ave, Highland, IL 62249-2806 | 6186512600 | HSHS MEDICAL GROUP INC |
| 1512 N Green Mount Rd, Suite 108, Ofallon, IL 62269-1953 | 6186245510 | HSHS MEDICAL GROUP INC |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
12860 TROXLER AVE |
| City | HIGHLAND |
| State | IL |
| Zip | 62249-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Ann Bode | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Janet L Alvarado | Internal Medicine | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jessica R Freeman | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Susan L Collman | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Lauren C Lawson | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Mallory A Rinderer | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Kyla Adriana Dewar | Internal Medicine | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jose A Diaz Jr. | General Surgery | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jane Grace Md Manalo | Medical Oncology | Cancer Care Specialists of Central Illinois, S.c. | 12860 Troxler Ave, Suite 350, Highland, IL 62249-2898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Kroll Hurley | Emergency Medicine | Maryville Medical Services LLC | 2504 Commerce, Highland, IL 62249-0017 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Mark Lacich | Chiropractic | 206 Walnut St, Highland, IL 62249-1224 | |
| John W Kleinhoffer | Optometry | 1312 Mercantile Dr, Highland, IL 62249-1240 | |
| Nancy J Taylor | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Breck D Kramper | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Pamella S Gronemeyer | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Aiman H Hawasli | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Nathan Scandrett | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Laura Michelle Halpin | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Find all physicians in zip 62249 | |||
| City | HIGHLAND |
| Zip Code | 62249 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HIGHLAND + FAMILY 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.