David L Riesenberger (NPI# 1700803335, PAC ID# 1254389497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700803335 |
| PAC ID by PECOS | 1254389497 |
| Professional Enrollment ID | I20050105000181 |
| Full Name | David L Riesenberger |
| Organization Legal Name | ALTON GRIFFIN EMERGENCY GROUP PC |
| Address |
1 Saint Anthonys Way Alton IL 62002-4568 |
| Phone Number | 6184652571 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7315167103 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141339 | TAYLORVILLE MEMORIAL HOSPITAL |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Saint Anthonys Way, Alton, IL 62002-4568 | 6184652571 | ALTON GRIFFIN EMERGENCY GROUP PC |
| Organization Legal Name | ALTON GRIFFIN EMERGENCY GROUP PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodger A Hanko | Internal Medicine | Alton Griffin Emergency Group PC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Faqir Ahmad | Emergency Medicine | Alton Griffin Emergency Group PC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Patrick A Masching | Emergency Medicine | Alton Griffin Emergency Group PC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Street Address |
1 SAINT ANTHONYS WAY |
| City | ALTON |
| State | IL |
| Zip | 62002-4568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodger A Hanko | Internal Medicine | Alton Griffin Emergency Group PC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Natasha L Cheek | Certified Registered Nurse Anesthetist (crna) | G and G Anesthesia LLC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Lea A Varble | Clinical Social Worker | Osf Healthcare System | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Benjamin Jacob Sidwell | Certified Registered Nurse Anesthetist (crna) | G and G Anesthesia LLC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Tara L Weirich | Certified Registered Nurse Anesthetist (crna) | G and G Anesthesia LLC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Eleanor R Banzon | Internal Medicine | Intensivo LLC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Leopoldo S. Pardo Iii | Internal Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Diana L Schuler | Certified Registered Nurse Anesthetist (crna) | G and G Anesthesia LLC | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Elizabeth Jane Johns | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Kelly Denise Riney | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 1 Saint Anthonys Way, Alton, IL 62002-4568 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ALTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David L Riesenberger.
| 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.