Tara Schultz (NPI# 1861865305, PAC ID# 1153622709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861865305 |
| PAC ID by PECOS | 1153622709 |
| Professional Enrollment ID | I20151224000006 |
| Full Name | Tara Schultz |
| Organization Legal Name | DECATUR MEMORIAL HOSPITAL |
| Address |
3131 N Water St Decatur IL 62526-2472 |
| Phone Number | 2178765320 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204731144 |
| Number of Group Practice Members | 192 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1801 Windsor Rd, Champaign, IL 61822-6217 | 2173668000 | CHRISTIE CLINIC, LLC |
| 3131 N Water St, Decatur, IL 62526-2472 | 2178765320 | DECATUR MEMORIAL HOSPITAL |
| Organization Legal Name | DECATUR MEMORIAL HOSPITAL |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna N Stowers | Nurse Practitioner | Decatur Memorial Hospital | 4775 E Maryland St, Decatur, IL 62521-8802 |
| Kathleen A Pritchett | Nurse Practitioner | Decatur Memorial Hospital | 441 W Hay St, Suite 101, Decatur, IL 62526-6324 |
| Brenda D Schwass | Nurse Practitioner | Decatur Memorial Hospital | 330 N Wyckles Rd, Decatur, IL 62522-1034 |
| Jamie L Cross | Nurse Practitioner | Decatur Memorial Hospital | 2120 N 27th St, Decatur, IL 62526-2191 |
| Mary Katherine E Kenney | Physician Assistant | Decatur Memorial Hospital | 650 W Columbia St, Arthur, IL 61911-1214 |
| Prasanna S Gowdar | Family Practice | Decatur Memorial Hospital | 741 W Pershing Rd, Decatur, IL 62526-1634 |
| Craig E Brown | Family Medicine | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Muhammad N Khan | Internal Medicine | Decatur Memorial Hospital | 2975 N Water St, Decatur, IL 62526-4235 |
| Albert F Gilman Iv | General Surgery | Decatur Memorial Hospital | 302 W Hay St, Suite 205, Decatur, IL 62526-4171 |
| Stephen J Chadwick | Otolaryngology | Decatur Memorial Hospital | 101 W Mckinley Ave, Decatur, IL 62526-3286 |
| Street Address |
3131 N WATER ST |
| City | DECATUR |
| State | IL |
| Zip | 62526-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig E Brown | Family Medicine | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Tonya S White | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Mary H Coventry | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Arun Gunda | Family Medicine | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Brittany C Patrick | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Bonnie J Coburn | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Jason P Blanchetti | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Geraldine T Wirth | Nurse Practitioner | Decatur Memorial Hospital | 3131 N Water St, Decatur, IL 62526-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Starr Burkhart | Clinical Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1393 | |
| Randy C Kneezel | Oral Surgery | Jurgens and Kneezel Ltd | 2727 N Oakland Ave, Decatur, IL 62526-1586 |
| Meera Yerrabolu | Internal Medicine | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Richard Dilorenzo | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Sudhakar K Sheth | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Ralph P Zehler Iii | Physician Assistant | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Victor Eloy | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Douglas J Dove | Neurology | 2 Memorial Dr, Suite 200, Decatur, IL 62526-1590 | |
| Oliver N R Dold | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Ratul Raychaudhuri | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Find all physicians in zip 62526 | |||
| City | DECATUR |
| Zip Code | 62526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATUR + 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.