David C Walters (NPI# 1114093986, PAC ID# 0941336218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1114093986 |
| PAC ID by PECOS | 0941336218 |
| Professional Enrollment ID | I20100326000247 |
| Full Name | David C Walters |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Address |
430 N Pleasant Ave Centralia IL 62801-3006 |
| Phone Number | 6189975266 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1759270648 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 N Pleasant Ave, Centralia, IL 62801-3006 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 3408 Office Park Dr, Marion, IL 62959-6477 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 | 6189975266 | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE LTD |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Michelle Griffin | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 1170 Fortune Blvd, Shiloh, IL 62269-7358 |
| Amanda Barton Shelton | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 209 Nw11th St, Fairfield, IL 62837-1218 |
| Rebeccah Fletcher | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 900 E Walnut, St.10, Carbondale, IL 62901-5306 |
| Shannon D Waller Davis | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1300 N Market St, Sparta, IL 62286-1048 |
| Sara B Rubenacker | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 3130 Veterans Memorial Dr, Mount Vernon, IL 62864-5951 |
| Amanda L Carroll | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 3408 Office Park Dr, Marion, IL 62959-6477 |
| Susan E Massey | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 |
| Frank F Mussemann | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 180 S 3rd St, Belleville, IL 62220-1952 |
| Elizabeth E Nolker | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1197 Fortune Blvd, Shiloh, IL 62269-7377 |
| Catherine L Wikoff | Obstetrics/gynecology | Heartland Women's Healthcare Ltd | 150 Health Care Dr, Greenville, IL 62246-1161 |
| Street Address |
430 N PLEASANT AVE |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie King | Nurse Practitioner | Heartland Women's Healthcare Ltd | 430 N Pleasant Ave, Centralia, IL 62801-3006 |
| Michael J Sammarco | Obstetrics/gynecology | Heartland Womens Healthcare Ltd | 430 N Pleasant Ave, Centralia, IL 62801-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CENTRALIA + OBSTETRICS/GYNECOLOGY |
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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.