Pearl Carrillo (NPI# 1487602991, PAC ID# 9133229222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487602991 |
| PAC ID by PECOS | 9133229222 |
| Professional Enrollment ID | I20070702000398 |
| Full Name | Pearl Carrillo |
| Organization Legal Name | JOHN FITZGIBBON MEMORIAL HOSPITAL INC |
| Address |
2305 S 65 Hwy Fitzgibbon Hospitalist Group Marshall MO 65340-0250 |
| Phone Number | 6608867800 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2567351570 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260142 | FITZGIBBON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2305 S 65 Hwy, Fitzgibbon Hospitalist Group, Marshall, MO 65340-0250 | 6608867800 | JOHN FITZGIBBON MEMORIAL HOSPITAL INC |
| 2305 S Hwy 65, Marshall Sugical Associates, Marshall, MO 65340-3702 | 6608866692 | JOHN FITZGIBBON MEMORIAL HOSPITAL INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% |
| Organization Legal Name | JOHN FITZGIBBON MEMORIAL HOSPITAL INC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Woods | Nurse Practitioner | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Bldg A, Marshall, MO 65340-3702 |
| Hope Irene Tinker | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 |
| Christopher J Sporleder | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall, MO 65340-3702 |
| Craig E Mccoy | Obstetrics/gynecology | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall, MO 65340-3702 |
| Kelly Lynn Ross | Orthopedic Surgery | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall, MO 65340-3702 |
| Steve I Hong | Obstetrics/gynecology | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Bldg A, Marshall, MO 65340-3702 |
| Trent A Link | Nurse Practitioner | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall Sugical Associates, Marshall, MO 65340-3702 |
| Jared K Romney | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Fitzgibbon Anesthesia Group, Marshall, MO 65340-3702 |
| Mary Carolyn Fahrmeier | Psychiatry | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall Sugical Associates, Marshall, MO 65340-3702 |
| Paul T Brizendine | Emergency Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Marshall Sugical Associates, Marshall, MO 65340-3702 |
| Street Address |
2305 S 65 HWY FITZGIBBON HOSPITALIST GROUP |
| City | MARSHALL |
| State | MO |
| Zip | 65340-0250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie E Elfrink | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall, MO 65340-0250 |
| Alyssa Ferri | Clinical Nurse Specialist | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall Emergency Physicians, Marshall, MO 65340-0250 |
| Carrie M Peecher | Family Practice | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall, MO 65340-0250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Matthew Simpson | Chiropractic | 187 S Lyon Ave, Marshall, MO 65340-1965 | |
| Joyce Megan Simpson | Chiropractic | Simpson Chiropractic LLC | 187 S Lyon Ave, Marshall, MO 65340-1965 |
| Daniel J Fahnestock | Chiropractic | 269 S Jefferson Ave, Marshall, MO 65340-2134 | |
| Tron Y Lally | Optometry | 268 S Jefferson Ave, Marshall, MO 65340-2135 | |
| David J Keuhn | Family Medicine | 4 N Jefferson Ave, Marshall, MO 65340-2148 | |
| Mark Alvin Lockhart | Chiropractic | 754 S Odell Ave, Marshall, MO 65340-2504 | |
| Delbert L Shroyer | Chiropractic | 1566 S Odell Ave, Marshall, MO 65340-3147 | |
| Jamie Lynn Case | Physical Therapy | Central Missouri Physical Therapy LLC | 941 Cherokee Dr, Suite 2a, Marshall, MO 65340-3646 |
| Pamela Sue Meusborn | Occupational Therapy | Central Missouri Physical Therapy LLC | 941 Cherokee Dr, Marshall, MO 65340-3646 |
| Angela L Woods | Nurse Practitioner | John Fitzgibbon Memorial Hospital Inc | 2305 S Hwy 65, Bldg A, Marshall, MO 65340-3702 |
| Find all physicians in zip 65340 | |||
| City | MARSHALL |
| Zip Code | 65340 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARSHALL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pearl Carrillo.
| 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.