Anthony William Wasielewski (NPI# 1912175506, PAC ID# 8123105590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912175506 |
| PAC ID by PECOS | 8123105590 |
| Professional Enrollment ID | I20180213001013 |
| Full Name | Anthony William Wasielewski |
| Organization Legal Name | MEMORIAL HOSPITAL ASSOCIATION |
| Address |
1454 N County Rd Suite 2050 Carthage IL 62321-0160 |
| Phone Number | 2173578500 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244134682 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141305 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 | 2173578500 | MEMORIAL HOSPITAL ASSOCIATION |
| 110 E Market St, Colchester, IL 62326-1271 | 2173572173 | MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey R Baldwin | Physician Assistant | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Jeffrey R Horvath | Rheumatology | Memorial Hospital Association | D/b/a Memorial Medical Clinics Carthage, 1450 N County Rd 2050, Carthage, IL 62321 |
| Christopher M Jones | Obstetrics/gynecology | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Victoria L Kalivoda-popela | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Melissa Kristyne Wisslead | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Douglas A Heighton | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Gregory David Burfeind | Family Medicine | Memorial Hospital Association | 2525 N Broadway Ave, Red Lodge, MT 59068-9222 |
| Tracey Lynn-severt Burgard | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Edward F Mckenney | General Practice | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Jeffery Andrew Leon | Physician Assistant | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Street Address |
1454 N COUNTY RD SUITE 2050 |
| City | CARTHAGE |
| State | IL |
| Zip | 62321-0160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Jones | Obstetrics/gynecology | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Victoria L Kalivoda-popela | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Melissa Kristyne Wisslead | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Douglas A Heighton | Family Medicine | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Tracey Lynn-severt Burgard | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Edward F Mckenney | General Practice | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Jeffery Andrew Leon | Physician Assistant | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Janette A Glass | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Phyllis R Wear | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Dawn M Cousins | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Horvath | Rheumatology | Memorial Hospital Association | D/b/a Memorial Medical Clinics Carthage, 1450 N County Rd 2050, Carthage, IL 62321 |
| Krista M Carle | Nurse Practitioner | Memorial Hospital Association | D/b/a Memorial Medical Clinics Carthage, 1450 N County Rd 2050, Carthage, IL 62321 |
| Daveda C Voss | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Monica G Crim | Nurse Practitioner | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Michael K Ouwenga | Urology | Memorial Hospital Association | 1454 N County Rd, Suite 2050, Carthage, IL 62321-0160 |
| Rebecca S Eagan | Chiropractic | 524 Buchanan St, Carthage, IL 62321-1307 | |
| Matthew Jordan Merritt | Chiropractic | 62 S Madison St, Carthage, IL 62321-1331 | |
| Duane R Prior | Chiropractic | 535 Main St, Carthage, IL 62321-1338 | |
| Rita J Odonnell | Clinical Social Worker | Mental Health Centers of Western Illinois | 607 Buchanan St, Carthage, IL 62321-1401 |
| Lionel J Smith | Family Medicine | 671 Wabash Ave, Carthage, IL 62321-1443 | |
| Find all physicians in zip 62321 | |||
| City | CARTHAGE |
| Zip Code | 62321 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARTHAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Anthony William Wasielewski.
| 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.