David J. Huddleston
PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC


Address: 2 Good Samaritan Way, Suite 405, Mount Vernon, IL 62864-2478
Phone: 6188994040

David J. Huddleston (NPI# 1033170998, PAC ID# 0941495766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.

Physician Overview

Nation Provider ID (NPI) 1033170998
PAC ID by PECOS 0941495766
Professional Enrollment ID I20101105001139
Full Name David J. Huddleston
Organization Legal Name PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
Address 2 Good Samaritan Way
Suite 405
Mount Vernon
IL 62864-2478
Phone Number 6188994040
Gender M
Medical School SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty PATHOLOGY
Group Practice PAC ID 9234022567
Number of Group Practice Members 88
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340028 CAPE FEAR VALLEY MEDICAL CENTER
140046 SSM HEALTH - GOOD SAMARITAN HOSPITAL

Other Locations

Address Phone Organization
1638 Owen Dr, Fayetteville, NC 28304-3424 6152214400 ASSOCIATED PATHOLOGISTS LLC
2 Good Samaritan Way, Suite 405, Mount Vernon, IL 62864-2478 6188994040 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC

Organization Information

Organization Legal Name PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
Physicians 62

Physicians with the same organization

Name Specialty Organization Address
Jessica Lynn Chapman Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 1003 E Mccord St, Centralia, IL 62801-3345
Murugavel M Muthusamy Hematology/oncology Physician Services Corporation of Southern Illinois Inc 1052 Martin Luther King Dr, Suite 100, Centralia, IL 62801-3002
Darla J Spain Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 501 N Du Quoin St, Benton, IL 62812-1224
Tamara E Copeland Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 4106 S Water Tower Pl, Mount Vernon, IL 62864-6544
Stella C Johnson Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 5 Good Samaritan Way, Mount Vernon, IL 62864-2402
Katina Candee Physician Assistant Physician Services Corporation of Southern Illinois Inc 602 S 42nd St B, Mount Vernon, IL 62864-6264
Karla R Webb Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 402 N Pleasant Ave, Centralia, IL 62801-3006
Melissa Karaffa Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 1054 M L King Dr, Centralia, IL 62801-3066
Debra Ann Carson Obstetrics/gynecology Physician Services Corporation of Southern Illinois Inc 201 Bailey Ln, Benton, IL 62812-1969
Nida Subhani Internal Medicine Physician Services Corporation of Southern Illinois Inc 602 S 42nd St, B, Mount Vernon, IL 62864-6264

Office Location

Street Address 2 GOOD SAMARITAN WAY
SUITE 405
City MOUNT VERNON
State IL
Zip 62864-2478

Physicians in the same location

Name Specialty Organization Address
Naresh K Ahuja General Surgery Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864-2476
Jonathan L Sorenson Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Loring A Barr Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Nadiene Ann Stock Nurse Practitioner Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Prateek Srinet Otolaryngology Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Tyler Wishau Podiatry Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Jeanette I Ellis Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Christopher D Bourget Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
David P Rakey Certified Registered Nurse Anesthetist (crna) Anesthesia Associates of Southern Illinois Surgery Center LLC 2 Good Samaritan Way, Suite 200, Mount Vernon, IL 62864-2476
Shaheen Riadh Alanee Urology Physician Services Corporation of Southern Illinois Inc 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2478
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Christa S Pestka Family Medicine Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Jacklyn Hedger Nurse Practitioner Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Lydia Ann Williams Psychologist, Clinical 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189
Linden R Pearson Family Medicine 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189
Kevin C Wright Diagnostic Radiology Virtual Radiologic Professionals LLC 3614 Victoria Ave, Mount Vernon, IL 62864-2208
Mark C Hurst Optometry 4 Westwood Dr, Mount Vernon, IL 62864-2212
Jennifer L Craig Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Jennifer R Bass Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Troy W Johnson Optometry Clarkson Optometry Illinois PC 3000 Broadway St, Mount Vernon, IL 62864-2340
Erin Hocking Ayers Optometry Marion Eye Centers Ltd 2900 Broadway St A, Mount Vernon, IL 62864-2341
Find all physicians in zip 62864

Competitor

Search similar physicians

City MOUNT VERNON
Zip Code 62864
Specialty PATHOLOGY
City + Specialty MOUNT VERNON + PATHOLOGY

Improve Information

Please comment or provide details below to improve the information on David J. Huddleston.

Dataset Information

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.

Trending Searches