John Raymond Groll (NPI# 1396716163, PAC ID# 9133033905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1396716163 |
PAC ID by PECOS | 9133033905 |
Professional Enrollment ID | I20031117000133 |
Full Name | John Raymond Groll |
Organization Legal Name | ST LOUIS MEDICAL CLINIC, P.C. |
Address |
1900 State St Chester IL 62233-1116 |
Phone Number | 6188264581 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1988 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 2961496765 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141338 | MEMORIAL HOSPITAL |
260108 | MISSOURI BAPTIST MEDICAL CENTER |
261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
140242 | CENTRAL DUPAGE HOSPITAL |
Address | Phone | Organization |
---|---|---|
1900 State St, Chester, IL 62233-1116 | 6188264581 | ST LOUIS MEDICAL CLINIC, P.C. |
1900 State St, Chester, IL 62233-1116 | MEMORIAL HOSPITAL | |
1028 S Kirkwood Rd, Kirkwood, MO 63122-7222 | 3143942255 | ST LOUIS CARDIOVASCULAR INSTITUTE LLC |
3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 | 3144321111 | ST LOUIS MEDICAL CLINIC, P.C. |
Organization Legal Name | ST LOUIS MEDICAL CLINIC, P.C. |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darren J Pearson | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Harry L Wadsworth | Endocrinology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Michael E Cannon | Family Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Rebecca D Peck | Dermatology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Maureen E Stoffa | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Ying Du | Rheumatology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Michael W Lowhorn | Podiatry | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Steven E Fern | Gastroenterology | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Steven D Jacobson | Internal Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Gayathri V Raman | Family Medicine | St Louis Medical Clinic, P.C. | 3009 N Ballas Rd, 100b, Saint Louis, MO 63131-2322 |
Street Address |
1900 STATE ST |
City | CHESTER |
State | IL |
Zip | 62233-1116 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stuart K Lankford | Physician Assistant | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
Matthew Jones | Nurse Practitioner | Red Bud Regional Clinic Company LLC | 1900 State St, Chester, IL 62233-1116 |
Jeffry L Peterson | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
James R Kirkpatrick | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Douglas R Berson | Allergy/immunology | Allergy and Asthma Care of St. Louis | 1900 State St, Chester, IL 62233-1116 |
Joseph P Molnar | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Lisa Lowry-rohlfing | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Valerie Blechle | Nurse Practitioner | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Sam Stokes Iii | Urology | Southern Illinois Medical Services, Nfp | 1900 State St, Chester, IL 62233-1116 |
Justin Floyd | Hematology/oncology | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith Norman Tyhurst | Optometry | Marion Eye Centers Ltd | 203 Van Zant St, Chester, IL 62233-1020 |
Doyle T Witt | Emergency Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Stephen Platt | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Sandra J Evans | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Randy Cowart | Nephrology | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
James R Krieg | Family Medicine | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Muhammad Kamran | Nephrology | Kidney Disease and Medicine Specialty Consultants LLC | 1900 State St, Chester, IL 62233-1116 |
Robert C Lander | Orthopedic Surgery | 1900 State St, Chester, IL 62233-1116 | |
Allan Liefer | General Surgery | Memorial Hospital | 1900 State St, Chester, IL 62233-1116 |
Jodi Beth Buskohl | Chiropractic | 2447 State St, Chester, IL 62233-1147 | |
Find all physicians in zip 62233 |
City | CHESTER |
Zip Code | 62233 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | CHESTER + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.