Kevin L Shady (NPI# 1245317304, PAC ID# 9638205461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1245317304 |
| PAC ID by PECOS | 9638205461 |
| Professional Enrollment ID | I20100331000166 |
| Full Name | Kevin L Shady |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Address |
1 Memorial Dr Alton IL 62002-6722 |
| Phone Number | 6184637311 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587624226 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140002 | ALTON MEMORIAL HOSPITAL |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| 260032 | BARNES JEWISH HOSPITAL |
| 140059 | JERSEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Memorial Dr, Alton, IL 62002-6722 | 6184637311 | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Rae Drylewicz | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Hilton I Price | Diagnostic Radiology | Midwest Radiological Associates PC | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Carrie C Morrison | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| John H Niemeyer | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Gerald J Palagallo | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Christopher O Thornton | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Mitra B Boodram | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Feraas Jabi | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Toni C Roth | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Randall L Heller Iii | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Street Address |
1 MEMORIAL DR |
| City | ALTON |
| State | IL |
| Zip | 62002-6722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Maggie Duffey Lewis | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 1 Memorial Dr, Alton, IL 62002-6755 |
| David A Harmon | Family Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Vibhu Dhawan | Internal Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| David R Riedel | Gastroenterology | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Christopher R Aldridge | General Surgery | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Gretchen L Byrkit | Obstetrics/gynecology | Womens Health Care Specialists of Decatur LLC | 1 Memorial Dr, Suite 216, Decatur, IL 62526-6321 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Ethan E Reynolds | Anesthesiology | Midwest Anesthesia Providers Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ALTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kevin L Shady.
| 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.