Penelope Kathleen Tippy (NPI# 1568448447, PAC ID# 7719018860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1568448447 |
| PAC ID by PECOS | 7719018860 |
| Professional Enrollment ID | I20100706000527 |
| Full Name | Penelope Kathleen Tippy |
| Organization Legal Name | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| Address |
2553 Ken Gray Boulevard West Frankfort IL 62896-4174 |
| Phone Number | 6189322155288 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2961310966 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2553 Ken Gray Blvd, W Frankfort, IL 62896-4174 | SOUTHERN ILLINOIS HOSPITAL SERVICES | |
| 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 | 6189322155288 | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| Organization Legal Name | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Macy L Henson | Physician Assistant | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Jerry L Goddard | Family Medicine | Southern Illinois Hospital Services | 2553 Ken Gray Blvd, W Frankfort, IL 62896-4174 |
| Laura R Kidd | Physician Assistant | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Christopher James Hanson | Family Medicine | Southern Illinois Hospital Services | 2553 Ken Gray Blvd, W Frankfort, IL 62896-4174 |
| Sharon Ann Smaga | Family Medicine | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Quincy Oneal Scott Jr. | Family Medicine | Southern Illinois Hospital Services | 2553 Ken Gray Blvd, W Frankfort, IL 62896-4174 |
| Robert Lewis Holmes | Family Practice | Southern Illinois Hospital Services | 2553 Ken Gray Blvd, W Frankfort, IL 62896-4174 |
| Street Address |
2553 KEN GRAY BOULEVARD |
| City | WEST FRANKFORT |
| State | IL |
| Zip | 62896-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Macy L Henson | Physician Assistant | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Laura R Kidd | Physician Assistant | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Sharon Ann Smaga | Family Medicine | Southern Illinois Hospital Services | 2553 Ken Gray Boulevard, West Frankfort, IL 62896-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Dailey | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 406 W Saint Louis St, West Frankfort, IL 62896-1956 |
| Danneille C Trujillo Hansen | Certified Clinical Nurse Specialist (cns) | 410 W Saint Louis St, West Frankfort, IL 62896-1956 | |
| Julie Adkins | Nurse Practitioner | 406 W Saint Louis St, West Frankfort, IL 62896-1956 | |
| Adam J Henson | Family Medicine | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Christopher S Shadowens | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Diana L Tomlianovich | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Wesley Ray Howell | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Meredith Grace Lukens | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Elizabeth A Parks | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Rachel Lynn Terrill | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Find all physicians in zip 62896 | |||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WEST FRANKFORT + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Penelope Kathleen Tippy.
| 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.