Tia M Rademaker (NPI# 1740514546, PAC ID# 9133268675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740514546 |
| PAC ID by PECOS | 9133268675 |
| Professional Enrollment ID | I20091123000450 |
| Full Name | Tia M Rademaker |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Address |
2432 E Main St B Southeast Convenient Care Jackson MO 63755-1711 |
| Phone Number | 5737552305 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133024334 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260110 | SOUTHEASTHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2432 E Main St B, Southeast Convenient Care, Jackson, MO 63755-1711 | 5737552305 | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Roth | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 |
| Stephanie J Neal | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2126 Independence St, Cape Girardeau, MO 63703-5826 |
| Leah Hayman | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 789 S Mount Auburn Rd, Cape Girardeau, MO 63701-6387 |
| Janet S Stewart | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 15 Doctors Park, Cape Girardeau, MO 63703-4927 |
| Amanda J Boatwright | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 371 S Broadview St, Cardiovascular Consultants, Cape Girardeau, MO 63703-5761 |
| Jehan P Murugaser | Family Medicine | Southeast Missouri Hospital Physicians LLC | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 |
| Julianna P Lippert Keck | Family Medicine | Southeast Missouri Hospital Physicians LLC | 310 S Silver Spring Rd, Southeast Wond Care Adn Hyperbariacs, Cape Girardeau, MO 63701-5230 |
| Brian Keenan | Emergency Medicine | Southeast Missouri Hospital Physicians LLC | 725 N Pacific, Southeast Campus Health Clinic, Cape Girardeau, MO 63701-5230 |
| Sterling Alexander Meza | Anesthesiology | Southeast Missouri Hospital Physicians LLC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Chris Robert Rosenquist | Obstetrics/gynecology | Southeast Missouri Hospital Physicians LLC | 1111 N Mount Auburn Rd, Women First of Southeast Health, Cape Girardeau, MO 63701-3437 |
| Street Address |
2432 E MAIN ST B SOUTHEAST CONVENIENT CARE |
| City | JACKSON |
| State | MO |
| Zip | 63755-1711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene F Mcdonald | Optometry | 430 W Independence, Jackson, MO 63755-1203 | |
| Elizabeth A Derickson | Clinical Social Worker | One Accord Counseling LLC | 902 E Jackson Blvd, Jackson, MO 63755-2434 |
| Deanna M Siemer | Family Medicine | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| Janae J Eskew | Nurse Practitioner | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| James J Lee | Chiropractic | 2625 E Jackson Blvd, Jackson, MO 63755-2916 | |
| Wayne A Sarno | Podiatry | 1166 Greenway Dr, Suite B2, Jackson, MO 63755-2921 | |
| Troy L Bell | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Morgan A Strand | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Panagiotis Paulus | Ophthalmology | Eye Surgery Consultants LLP | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Aaron T Andrews | Chiropractic | 3130 E Jackson Blvd, Jackson, MO 63755-2957 | |
| Find all physicians in zip 63755 | |||
| City | JACKSON |
| Zip Code | 63755 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tia M Rademaker.
| 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.