Mathew T. Phillips (NPI# 1619172947, PAC ID# 8729256284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1619172947 |
| PAC ID by PECOS | 8729256284 |
| Professional Enrollment ID | I20171031001982 |
| Full Name | Mathew T. Phillips |
| Organization Legal Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Address |
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262 |
| Phone Number | 6182423778 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2004 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6901705441 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 2110 Fox Dr, Champaign, IL 61820-7553 | 2173661323 | CHRISTIE CLINIC, LLC |
| 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 6182423778 | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Organization Legal Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Cross | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Susan C Portner | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Devin D Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Stephanie Schaubert | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Amanda K Mckee | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Scott A Murfin | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Jamie R Smith | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Braedon Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Don Kovalsky | Orthopedic Surgery | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Street Address |
4121 VETERANS MEMORIAL DR |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-6262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Cross | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Devin D Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Stephanie Schaubert | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Amanda K Mckee | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Jamie R Smith | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Braedon Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Don Kovalsky | Orthopedic Surgery | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Vivian Deloso | Occupational Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Kimberly Rubenacker | Occupational Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Angela K Oglesby | Occupational Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MOUNT VERNON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mathew T. Phillips.
| 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.