Ghulam J Siddiqui (NPI# 1023260874, PAC ID# 0648404731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1023260874 |
| PAC ID by PECOS | 0648404731 |
| Professional Enrollment ID | I20131002000698 |
| Full Name | Ghulam J Siddiqui |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Address |
2115 S Fremont Ave 3300 Mc Gastroenterology Whiteside Springfield MO 65804-2246 |
| Phone Number | 4178205200 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 7416865845 |
| Number of Group Practice Members | 931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| 260059 | MERCY HOSPITAL LEBANON |
| Address | Phone | Organization |
|---|---|---|
| 2115 S Fremont Ave, 3300 Mc Gastroenterology Whiteside, Springfield, MO 65804-2246 | 4178205200 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Physicians | 976 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Whittington | Nurse Practitioner | Mercy Clinic Springfield Communities | 149 Rogers Ave, Mc Family Medicine Summersville, Summersville, MO 65571-0001 |
| Mary Booth | Nurse Practitioner | Mercy Clinic Springfield Communities | 3231 S National Ave, 120 Mc Lab Services Sgc, Springfield, MO 65807-7304 |
| Starla Lynnette Smith | Nurse Practitioner | Mercy Clinic Springfield Communities | 104 E Us Hwy 60, Mc Family Medicine Mountain View, Mountain View, MO 65548-7381 |
| Tara Fuchs | Nurse Practitioner | Mercy Clinic Springfield Communities | 448 State Hwy 248, Suite 180, Branson, MO 65616-3725 |
| Heather Stratton | Nurse Practitioner | Mercy Clinic Springfield Communities | 315 E Cleveland Ave, Mc Family Medicine Monett, Monett, MO 65708-1704 |
| Lauryn Murphy Kelly | Nurse Practitioner | Mercy Clinic Springfield Communities | 550 S Hudson Ave, Mc Family Medicine Aurora, Aurora, MO 65605-2362 |
| Laura Windsor | Nurse Practitioner | Mercy Clinic Springfield Communities | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9251 |
| Tamra Lynn Cox | Nurse Practitioner | Mercy Clinic Springfield Communities | 613 Orchard Dr, Berryville, AR 72616-5013 |
| Jessica K Moschner | Nurse Practitioner | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| John Hornick | General Surgery | Mercy Clinic Springfield Communities | 2520 S Springfield Ave, Mc General and Specialty Surg Bolivar, Bolivar, MO 65613-9691 |
| Street Address |
2115 S FREMONT AVE 3300 MC GASTROENTEROLOGY WHITESIDE |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65804-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Kenney | Nurse Practitioner | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3300 Mc Gastroenterology Whiteside, Springfield, MO 65804-2246 |
| Christie J Hurt | Family Medicine | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3100 Mc Lab and Imaging Services Whiteside, Springfield, MO 65804-2205 |
| Melissa D Grisaffe | Nurse Practitioner | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3300 Mc Gastroenterology Whiteside, Springfield, MO 65804-2246 |
| Kimberly E Dionysus-rouintree | Psychologist, Clinical | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3000 Mc Neurology Whiteside, Springfield, MO 65804-2215 |
| Soubhagyalakshmi Parvathaneni | Cardiovascular Disease (cardiology) | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 43004000 Mc Cardiology Whiteside, Springfield, MO 65804-2239 |
| Roger Oghlakian | Neurology | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3000 Mc Neurology Whiteside, Springfield, MO 65804-2215 |
| Heather Kristin Dearing | Nurse Practitioner | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3050 Mc Infectious Disease Whiteside, Springfield, MO 65804-2236 |
| Guy F Miller | Family Medicine | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 5000 Mc Vascular Lab and Vein Center, Springfield, MO 65804-2230 |
| David S Cochran | Interventional Cardiology | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 43004000 Mc Cardiology Whiteside, Springfield, MO 65804-2239 |
| Roy D Libel | Gastroenterology | Mercy Clinic Springfield Communities | 2115 S Fremont Ave, 3300 Mc Gastroenterology Whiteside, Springfield, MO 65804-2246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Carrell | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Ronald W Keeling | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Bary Brown | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Carolyn S Wampler | Clinical Social Worker | 1736 E Sunshine St, Springfield, MO 65804-1329 | |
| Iran N Cohen | Psychologist, Clinical | 1736 E Sunshine St, Suite 510, Springfield, MO 65804-1331 | |
| Jeanine L Siewert | Clinical Social Worker | 1736 E Sunshine, Suite 811, Springfield, MO 65804-1334 | |
| Sara S Hollis | Psychologist, Clinical | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1334 | |
| Susan L Waldo | Psychologist, Clinical | 1909 E Bennett St, Suite 106, Springfield, MO 65804-1400 | |
| Stephen R Adams | Family Medicine | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Julie A Macke | Clinical Social Worker | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Find all physicians in zip 65804 | |||
| City | SPRINGFIELD |
| Zip Code | 65804 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SPRINGFIELD + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Ghulam J Siddiqui.
| 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.