Faisal I Lala (NPI# 1205965787, PAC ID# 9739280231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205965787 |
| PAC ID by PECOS | 9739280231 |
| Professional Enrollment ID | I20070727000684 |
| Full Name | Faisal I Lala |
| Organization Legal Name | MIDWEST EMERGENCY GOOD SAMARITAN, INC |
| Address |
1 Good Samaritan Way Mount Vernon IL 62864-2402 |
| Phone Number | 6182424600 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1658529342 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 141320 | PARIS COMMUNITY HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 400 N Pleasant Ave, St Mary's Hospital Centralia Il, Centralia, IL 62801-3056 | 6184368000 | MIDWEST EMERGENCY CENTRALIA CAMPUS ASSOCIATES, INC. |
| 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6182424600 | MIDWEST EMERGENCY GOOD SAMARITAN, INC |
| Organization Legal Name | MIDWEST EMERGENCY GOOD SAMARITAN, INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Roustio | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| James N Thomas | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Amber D Willis | Nurse Practitioner | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Roxanna E Stevens | Nurse Practitioner | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Brandy R Whetstone | Nurse Practitioner | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Carmon L Glover Iii | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Philip G Gomez | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Bethany L Monteiro | Nurse Practitioner | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| James E Dudo | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Tracy G Sanson | Emergency Medicine | Midwest Emergency Good Samaritan, Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Street Address |
1 GOOD SAMARITAN WAY |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David I Blue | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Qing K Luo | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Rosa E Turcios | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Esther L Schulz | Family Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Norman E Howe | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Irfan Choudhry | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Erica Lynne Ibendahl | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Kevin B Claffey | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Yvette Rene Walker | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Misty Wernsman | Nurse Practitioner | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT VERNON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Faisal I Lala.
| 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.