Shannon D Waller Davis (NPI# 1063884799, PAC ID# 9335447861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1063884799 |
| PAC ID by PECOS | 9335447861 |
| Professional Enrollment ID | I20160606000404 |
| Full Name | Shannon D Waller Davis |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Address |
1300 N Market St Sparta IL 62286-1048 |
| Phone Number | 6189975266 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 1759270648 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 N Market St, Sparta, IL 62286-1048 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Michelle Griffin | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 1170 Fortune Blvd, Shiloh, IL 62269-7358 |
| Amanda Barton Shelton | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 209 Nw11th St, Fairfield, IL 62837-1218 |
| Rebeccah Fletcher | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 900 E Walnut, St.10, Carbondale, IL 62901-5306 |
| Sara B Rubenacker | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 3130 Veterans Memorial Dr, Mount Vernon, IL 62864-5951 |
| Amanda L Carroll | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 3408 Office Park Dr, Marion, IL 62959-6477 |
| Susan E Massey | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 |
| David C Walters | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 430 N Pleasant Ave, Centralia, IL 62801-3006 |
| Frank F Mussemann | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 180 S 3rd St, Belleville, IL 62220-1952 |
| Elizabeth E Nolker | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1197 Fortune Blvd, Shiloh, IL 62269-7377 |
| Catherine L Wikoff | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 150 Health Care Dr, Greenville, IL 62246-1161 |
| Street Address |
1300 N MARKET ST |
| City | SPARTA |
| State | IL |
| Zip | 62286-1048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Preuss | Physician Assistant | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Destiny A Wilson | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Scott I Barclay | Family Medicine | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Jennifer Ann Watson | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Murry | Chiropractic | 401 W Broadway St, Sparta, IL 62286-1639 | |
| Ryan R Reiss | Chiropractic | 202 W Jackson St A, Sparta, IL 62286-1676 | |
| Judith L Wuller | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Giuseppe C Aliperti | Gastroenterology | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| James Robert Lundy | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Richard E Nicol | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Robert J Marshall | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| John C Vandover | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| James P Wade | Family Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Thomas A Cliatt | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Find all physicians in zip 62286 | |||
| City | SPARTA |
| Zip Code | 62286 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | SPARTA + CERTIFIED NURSE MIDWIFE (CNM) |
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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.