Crystal M Carmicheal (NPI# 1619138682, PAC ID# 9739347279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1619138682 |
PAC ID by PECOS | 9739347279 |
Professional Enrollment ID | I20120229000864 |
Full Name | Crystal M Carmicheal |
Organization Legal Name | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
Address |
1404 Cross St Shiloh IL 62269-2988 |
Phone Number | 6186071000 |
Gender | F |
Graduation Year | 2007 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3274765904 |
Number of Group Practice Members | 45 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140137 | GREENVILLE REGIONAL HOSPITAL |
140187 | HSHS ST ELIZABETH'S HOSPITAL |
140145 | ST JOSEPHS HOSPITAL |
Address | Phone | Organization |
---|---|---|
150 N 27th St, Belleville, IL 62226-6621 | 6182356600 | CEP AMERICA - ILLINOIS SNF LLP |
1404 Cross St, Shiloh, IL 62269-2988 | 6186071000 | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_047_overall | Care Plan | 91% |
Organization Legal Name | CEP AMERICA-ILLINOIS HOSPITALISTS LLP |
Physicians | 44 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deanna L Rodenberg | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
Christopher G Engele | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
Ibrahim B Elayyan | Internal Medicine | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
Leopoldo S. Pardo Iii | Internal Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
Darah R Dodt | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
Jemila M Crawford | Internal Medicine | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
Jayne A Morrison | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Danielle Williams | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Elizabeth Jane Johns | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
Street Address |
1404 CROSS ST |
City | SHILOH |
State | IL |
Zip | 62269-2988 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren E Douglass | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Belleville | 1404 Cross St, Shiloh, IL 62269-2988 |
Mary C Rybak | Hospitalist | Cep America-illinois Hospitalists LLP | 1404 Cross St, Shiloh, IL 62269-2988 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara Balabas | Optometry | Nucrown Inc | 1560w Us Hwy 50, O Fallon, IL 62269 |
Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
Shirley S Sheth | Emergency Medicine | Cepamerica Illinois LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Kathy L Liefer | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
Bart S Bowers | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Breanna L Gawrys | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
Yashaswi S Belvadi | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Bernard J Szopa | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
Find all physicians in zip 62269 |
City | SHILOH |
Zip Code | 62269 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SHILOH + INTERNAL MEDICINE |
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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.