Theodore J Gleason (NPI# 1295848216, PAC ID# 8729013891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1295848216 |
| PAC ID by PECOS | 8729013891 |
| Professional Enrollment ID | I20050928000679 |
| Full Name | Theodore J Gleason |
| Organization Legal Name | TOUCHETTE REGIONAL HOSPITAL INC |
| Address |
2071 Goose Lake Rd Sauget IL 62206-2822 |
| Phone Number | 6184827128 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7416843370 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| 141350 | ST FRANCIS HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5900 Bond Ave, Centreville, IL 62207-2326 | 6184827054 | TOUCHETTE REGIONAL HOSPITAL INC |
| 503 N Maple St, Effingham, IL 62401-2006 | 2173422121 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2173242191 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 6182342120 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 221 Ne Glen Oak, Methodist Medical Center, Peoria, IL 61636-0001 | 3096725522 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 530 Neglen Oak Ave, Peoria, IL 61636-0001 | 3096552000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 325 Spring St, Red Bud, IL 62278-1105 | 6182823831 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 6184827128 | TOUCHETTE REGIONAL HOSPITAL INC |
| 200 S Cedar St, Shelbyville, IL 62565-1838 | 2177743961 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 818 E Broadway St, Sparta, IL 62286-1820 | 6184432177 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 400 N 9th St, Springfield, IL 62702-5310 | 2175446464 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 92% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 77% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 65% |
| Organization Legal Name | TOUCHETTE REGIONAL HOSPITAL INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moungar E Cooper | General Surgery | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Terence E Wade | Diagnostic Radiology | Touchette Regional Hospital Inc | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Sue J Volarich | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Joseph T Basler | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Daniel R Roubein | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Ricki Sue Loar | Nurse Practitioner | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Syed K Hussain | Internal Medicine | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Anton J Johnson | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Nzeadibenma O Uzochukwu | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Robert Prophete | Urology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Street Address |
2071 GOOSE LAKE RD |
| City | SAUGET |
| State | IL |
| Zip | 62206-2822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moungar E Cooper | General Surgery | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Jessica L Epperson | Clinical Social Worker | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Tina T Mond | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Sue J Volarich | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Joseph T Basler | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Hetal H Amin | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Kelly J Medlin | Clinical Social Worker | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Bhawna Sharma | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Jacqueline S Aregood | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Daniel R Roubein | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Magner Ii | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 |
| Prasad Abraham | Family Practice | 901 Range Ln, Cahokia, IL 62206-2023 | |
| Derrick Hamilton | Chiropractic | 1518 Camp Jackson Rd, Cahokia, IL 62206-2561 | |
| Anita S Wiggs | Nurse Practitioner | Metropolis Medical Partners Pa | 3354 Jerome Ln, Cahokia, IL 62206-2604 |
| Ricki Sue Loar | Nurse Practitioner | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Syed K Hussain | Internal Medicine | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Anton J Johnson | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Nzeadibenma O Uzochukwu | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Robert Prophete | Urology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Mia Chewrie Thouvenot | Podiatry | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Find all physicians in zip 62206 | |||
| City | SAUGET |
| Zip Code | 62206 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAUGET + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Theodore J Gleason.
| 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.