Shankho Ganguli (NPI# 1407122989, PAC ID# 0749563054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1407122989 |
| PAC ID by PECOS | 0749563054 |
| Professional Enrollment ID | I20190604000030 |
| Full Name | Shankho Ganguli |
| Organization Legal Name | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| Address |
619 E Mason St 4p57 Springfield IL 62701-1034 |
| Phone Number | 2177880706 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173435880 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 619 E Mason St, 4p57, Springfield, IL 62701-1034 | 2177880706 | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| Organization Legal Name | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Amanda P Monteleone | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Lane, St Josephs Hospital Breese, Breese, IL 62230-3618 |
| Jeanne M Kairouz | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 2 W Adams St, Sullivan Family Care, Sullivan, IL 61951-1943 |
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Ellen M Zindel | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 1800 E Lake Shore Dr 6th Flr, Decatur, IL 62521-3810 |
| Lori Beth Helmers | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Regina Y Chiu | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Lane, St Josephs Hospital Breese, Breese, IL 62230-3618 |
| Scott Marrus | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Jennifer K Black | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 1215 Franciscan Dr, Litchfield, IL 62056-1778 |
| Street Address |
619 E MASON ST 4P57 |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62701-1034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Raja C Maddipoti | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Meredith M Fleming | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Julie C Borjon | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Connie L Robinson | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Mark Jung-ching Shen | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer Nichelson | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shauna B Vogler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Margaret F Jordan | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| William S Stevens Jr. | Thoracic Surgery | Siu Physicians and Surgeons Inc | 619 E Mason St, Springfield, IL 62701-1034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Edward Teaman | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Andrea Nicole Bloodworth | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Wesley Brian Zwiefel | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Laura J Grubb | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Bharath Rajagopalan | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jeffrey P Christy | Thoracic Surgery | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Neil J Thomas | Thoracic Surgery | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer A Davis | Interventional Cardiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Amy Durako | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in zip 62701 | |||
| City | SPRINGFIELD |
| Zip Code | 62701 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SPRINGFIELD + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.