Jonathan E Walters (NPI# 1427286038, PAC ID# 7911142831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427286038 |
| PAC ID by PECOS | 7911142831 |
| Professional Enrollment ID | I20180320001884 |
| Full Name | Jonathan E Walters |
| Organization Legal Name | MASSAC MEMORIAL HOSPITAL |
| Address |
28 Chick St Metropolis IL 62960-2467 |
| Phone Number | 6185242176 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072422799 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141323 | MASSAC MEMORIAL HOSPITAL |
| 180102 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 28 Chick St, Metropolis, IL 62960-2467 | 6185242176 | MASSAC MEMORIAL HOSPITAL |
| Organization Legal Name | MASSAC MEMORIAL HOSPITAL |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Chapman | Nurse Practitioner | Massac Memorial Hospital | 28 Chick St, Suite 100, Metropolis, IL 62960-2467 |
| Benito C Bajuyo | General Practice | Massac Memorial Hospital | 28 Chick St, Metropolis, IL 62960-2467 |
| Bharat K Patel | Internal Medicine | Massac Memorial Hospital | 28 Chick St, Metropolis, IL 62960-2467 |
| Street Address |
28 CHICK ST |
| City | METROPOLIS |
| State | IL |
| Zip | 62960-2467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Chapman | Nurse Practitioner | Massac Memorial Hospital | 28 Chick St, Suite 100, Metropolis, IL 62960-2467 |
| Benito C Bajuyo | General Practice | Massac Memorial Hospital | 28 Chick St, Metropolis, IL 62960-2467 |
| Bharat K Patel | Internal Medicine | Massac Memorial Hospital | 28 Chick St, Metropolis, IL 62960-2467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred R White | Chiropractic | 209 W 10th St, Metropolis, IL 62960-1503 | |
| Dean D Hinners | Podiatry | 412 W 10th St, Metropolis, IL 62960-1508 | |
| Leila C Lindquist | Chiropractic | 723 Market St, Metropolis, IL 62960-1633 | |
| Thomas W Staton | Family Medicine | Baptist Health Medical Group Inc | 1203 W 10th St, Metropolis, IL 62960-2433 |
| Blake Woods | Nurse Practitioner | Baptist Health Medical Group Inc | 1203 W 10th St, Metropolis, IL 62960-2433 |
| Mallory R Wittig | Nurse Practitioner | Bharat K Patel Sc | 12 Hospital Dr, Metropolis, IL 62960-2461 |
| Jeffrey Don Lange | Chiropractic | 727 E 12th St, 2a, Metropolis, IL 62960-2647 | |
| Daniel J Smiley | Certified Registered Nurse Anesthetist (crna) | Tas of Illinois LLC | 1811 E 5th St, Metropolis, IL 62960-3107 |
| Gary Brush | Optometry | 1801 E 5th St, Metropolis, IL 62960-3107 | |
| Enrique Tan Yap | General Surgery | 5082 Poplar Ln, Metropolis, IL 62960-4416 | |
| Find all physicians in zip 62960 | |||
| City | METROPOLIS |
| Zip Code | 62960 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | METROPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan E Walters.
| 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.