Stacey Linn Waddington (NPI# 1154578615, PAC ID# 9133296742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154578615 |
| PAC ID by PECOS | 9133296742 |
| Professional Enrollment ID | I20080924000199 |
| Full Name | Stacey Linn Waddington |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Address |
301 N 8th St Springfield IL 62701-1041 |
| Phone Number | 2175458000 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140053 | ST JOHNS HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| 140135 | DECATUR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 N 8th St, Springfield, IL 62701-1041 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| 751 N Rutledge St, Springfield, IL 62702-4968 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Physicians | 259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
| Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
| Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
| Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Momin Saulat Siddique | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62701-1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Jennifer L Berry | Qualified Audiologist | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Cindy Lee Womack | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Shaylee J Sullivan | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Celine Walker | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Shuja Ahmed | General Surgery | Springfield Clinic LLP | 301 N 8th St, 3rd Floor, Springfield, IL 62701-1041 |
| Patricia Jean Klos | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Valerie A Ray | Qualified Audiologist | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Charlene Jane Young | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Robert Henry Blackwell | Urology | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Raja C Maddipoti | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Meredith M Fleming | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Julie C Borjon | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Connie L Robinson | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Mark Jung-ching Shen | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer Nichelson | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shankho Ganguli | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shauna B Vogler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in zip 62701 | |||
| City | SPRINGFIELD |
| Zip Code | 62701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacey Linn Waddington.
| 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.