Debra Waggle (NPI# 1316984594, PAC ID# 0345249058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316984594 |
| PAC ID by PECOS | 0345249058 |
| Professional Enrollment ID | I20070725000455 |
| Full Name | Debra Waggle |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Address |
1200 N E St Olney IL 62450-2432 |
| Phone Number | 6183957340 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870565732 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140147 | RICHLAND MEMORIAL HOSPITAL |
| 150042 | GOOD SAMARITAN HOSPITAL |
| 141351 | CLAY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 N E St, Olney, IL 62450-2432 | 6183957340 | RICHLAND MEMORIAL HOSPITAL INC |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen L Ginder | Nurse Practitioner | Richland Memorial Hospital Inc | 101 Industry Rd, Bridgeport, IL 62417-2442 |
| Katherine E Myers | Nurse Practitioner | Richland Memorial Hospital Inc | 605 E Main St, Olney, IL 62450-2163 |
| Tanner M Miller | Internal Medicine | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Raymond L Fisher | Cardiovascular Disease (cardiology) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Melissa N Kuenstler | Nurse Practitioner | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Thomas Falcone | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Stephanie D Gordon | Certified Nurse Midwife (cnm) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Gail Mowrer Greathouse | Nurse Practitioner | Richland Memorial Hospital Inc | 100 S Main St, West Salem, IL 62476-1202 |
| Mary M Waller | Urology | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| Peter M Mccool | Emergency Medicine | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Street Address |
1200 N E ST |
| City | OLNEY |
| State | IL |
| Zip | 62450-2432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| Mary M Waller | Urology | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| William R Padgett | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| Rise C Hatten | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| Stephen E Reid Jr. | General Surgery | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| Luis C Devenecia Jr. | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| Benjamin E Johnson | General Surgery | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| Kylie Lynn Garbe | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C Feddes | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Tara Beth Mckinney | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Gary Roe Street | Chiropractic | 400 S W St, Olney, IL 62450-1217 | |
| Ronald J Greenberg | Chiropractic | 731 S W St, Olney, IL 62450-1309 | |
| Jack Anthony Cole | Psychologist, Clinical | 302 S Kitchell Ave E, Olney, IL 62450-1500 | |
| Amanda J Schlick | Chiropractic | 600 W Main St, Olney, IL 62450-1542 | |
| Nathan A Stevens | Chiropractic | 600 W Main St, Stevens Chiropractic Clinic, Olney, IL 62450-1542 | |
| Deanna Fields | Nurse Practitioner | 117 N Boone St, Olney, IL 62450-2109 | |
| Daniel J Brown | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Clark E Deshon | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Find all physicians in zip 62450 | |||
| City | OLNEY |
| Zip Code | 62450 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLNEY + NURSE PRACTITIONER |
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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.