Crystal Vaughn Kondowe (NPI# 1366702870, PAC ID# 7618192428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366702870 |
| PAC ID by PECOS | 7618192428 |
| Professional Enrollment ID | I20160906000126 |
| Full Name | Crystal Vaughn Kondowe |
| Organization Legal Name | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
| Address |
1 Saint Elizabeth Blvd O Fallon IL 62269-1099 |
| Phone Number | 6182342120 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 3274765904 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 141349 | SPARTA COMMUNITY HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 503 N Maple St, Effingham, IL 62401-2006 | 2173422121 | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
| 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 6182342120 | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
| Organization Legal Name | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna L Rodenberg | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Crystal M Carmicheal | Internal Medicine | Cep America-illinois Hospitalists LLP | 1404 Cross St, Shiloh, IL 62269-2988 |
| Christopher G Engele | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Ibrahim B Elayyan | Internal Medicine | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Leopoldo S. Pardo Iii | Internal Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Darah R Dodt | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Jemila M Crawford | Internal Medicine | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Jayne A Morrison | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Danielle Williams | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Street Address |
1 SAINT ELIZABETH BLVD |
| City | O FALLON |
| State | IL |
| Zip | 62269-1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley S Sheth | Emergency Medicine | Cepamerica Illinois LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Bart S Bowers | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Yashaswi S Belvadi | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Danielle Williams | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Kristopher P Clements | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Cassie M Ishmael | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Katy Jo Lorenzo | Nurse Practitioner | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Katherine M Sims | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Joseph Edward Scott | Physician Assistant | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Balabas | Optometry | Nucrown Inc | 1560w Us Hwy 50, O Fallon, IL 62269 |
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Kathy L Liefer | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Breanna L Gawrys | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Bernard J Szopa | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Dana M Loepker | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Laura Michelle Mahaffey | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Elayna Leah Temares | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Michelle Sandlin | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Find all physicians in zip 62269 | |||
| City | O FALLON |
| Zip Code | 62269 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | O FALLON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Crystal Vaughn Kondowe.
| 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.