Christopher S Shadowens (NPI# 1326152356, PAC ID# 8123012663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326152356 |
| PAC ID by PECOS | 8123012663 |
| Professional Enrollment ID | I20040408001161 |
| Full Name | Christopher S Shadowens |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Address |
502 W Saint Louis St Suite 4 West Frankfort IL 62896-1968 |
| Phone Number | 6189373400 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678677390 |
| Number of Group Practice Members | 325 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2601 W Main St, Carbondale, IL 62901-1031 | 6185495361 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| 312 E Main St, West Frankfort, IL 62896-2402 | 6199376200 | RCI WRS INC |
| 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 | 6189373400 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Physicians | 338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Victor Cepeda | Infectious Disease | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Arsalan Salamat | General Surgery | Southern Illinois Medical Services, Nfp | 1237 E Main St, C1, Carbondale, IL 62901-3148 |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Mohammed Lawan Gana Guba | Hospitalist | Southern Illinois Medical Services, Nfp | 201 S 14th St, Herrin, IL 62948-3631 |
| Kowsika Movva | Family Medicine | Southern Illinois Medical Services, Nfp | 207 W Jackson St, Suite 102, Carbondale, IL 62901-1408 |
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Whitney Celeste Mcguire | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 405 Rushing Dr, Herrin, IL 62948-3730 |
| Jason Liang | Podiatry | Southern Illinois Medical Services, Nfp | 19 E Shawnee Dr, Suite 2, Murphysboro, IL 62966-7072 |
| Saad Ajmal | General Surgery | Southern Illinois Medical Services, Nfp | 317 S 14th St, Suite 1, Herrin, IL 62948-3673 |
| Street Address |
502 W SAINT LOUIS ST SUITE 4 |
| City | WEST FRANKFORT |
| State | IL |
| Zip | 62896-1968 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam J Henson | Family Medicine | 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 |
| Austin M Stallings | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Sarah Elizabeth Asaturian | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| Robert T Dinga | Physician Assistant | Southern Illinois Medical Services, Nfp | 502 W Saint Louis St, Suite 4, West Frankfort, IL 62896-1968 |
| 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 | |
| Ryan J Kathalynas | Chiropractic | 511 N Douglas St, West Frankfort, IL 62896-2011 | |
| David F Szoke | General Practice | 309 W Saint Louis St, Suite C, West Frankfort, IL 62896-2047 | |
| Beth Westell | Optometry | Marion Eye Centers Ltd | 909 W Main St, West Frankfort, IL 62896-2209 |
| Mirza S Baig | Psychiatry | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
| Brittany Vaughn | Clinical Social Worker | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
| Arif Habib | Psychiatry | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
| Sherry Gibbens | Clinical Social Worker | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
| Find all physicians in zip 62896 | |||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST FRANKFORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Christopher S Shadowens.
| 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.