Christie Marie Keen (NPI# 1023577442, PAC ID# 7517290265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023577442 |
| PAC ID by PECOS | 7517290265 |
| Professional Enrollment ID | I20190611003427 |
| Full Name | Christie Marie Keen |
| Organization Legal Name | UPTOWN EMERGENCY PHYSICIANS, LLP |
| Address |
17 Ginger Creek Mdws Glen Carbon IL 62034-3508 |
| Phone Number | 6186569777 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921096850 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 | 6186569777 | UPTOWN EMERGENCY PHYSICIANS, LLP |
| 108 W Us Hwy 40, Troy, IL 62294-1836 | 6186671800 | UPTOWN EMERGENCY PHYSICIANS, LLP |
| Organization Legal Name | UPTOWN EMERGENCY PHYSICIANS, LLP |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew E Duban | Emergency Medicine | Uptown Emergency Physicians, LLP | 159 E Mcarthur Dr, Bethalto, IL 62010-1777 |
| Kelly J Geldmacher | Emergency Medicine | Uptown Emergency Physicians, LLP | 6800 State Route 162, Maryville, IL 62062-8500 |
| Stephany Renee Luchtefeld | Nurse Practitioner | Uptown Emergency Physicians, LLP | 159 E Mcarthur Dr, Bethalto, IL 62010-1777 |
| Robert J Vergara | Family Medicine | Uptown Emergency Physicians, LLP | 6800 State Route 162, Maryville, IL 62062-8500 |
| Michael J Wilson | Family Medicine | Uptown Emergency Physicians, LLP | 159 E Mcarthur Dr, Bethalto, IL 62010-1777 |
| Grant Gerdelman | Emergency Medicine | Uptown Emergency Physicians, LLP | 6800 State Route 162, Maryville, IL 62062-8500 |
| Tara S Hilmes | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Ruth Holley | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Chanrachna Ladin | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Karen Michelle Bertels | Emergency Medicine | Uptown Emergency Physicians, LLP | 6800 State Route 162, Maryville, IL 62062-8500 |
| Street Address |
17 GINGER CREEK MDWS |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara S Hilmes | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Ruth Holley | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Chanrachna Ladin | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Tatonya Monique Roberts | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Andrew C Russell | Emergency Medicine | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Kristi L Woods | Nurse Practitioner | Uptown Emergency Physicians, LLP | 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN CARBON + NURSE PRACTITIONER |
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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.