Misty D Hammond (NPI# 1477919520, PAC ID# 1557664687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477919520 |
| PAC ID by PECOS | 1557664687 |
| Professional Enrollment ID | I20160125001349 |
| Full Name | Misty D Hammond |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Address |
111 W Main St Du Quoin IL 62832-1614 |
| Phone Number | 6185422426 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769479203 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 111 W Main St, Du Quoin, IL 62832-1614 | 6185422426 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 | 6189423344 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Natyshok | Physician Assistant | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Christine R Watson | Physician Assistant | Southern Illinois Dermatology, PC | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Alexis E Lorinskas | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Melody Hof | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Derek G Kenneaster | Dermatology | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Ted G Van Acker | Dermatology | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Shanda C Swagler | Nurse Practitioner | Southern Illinois Dermatology, PC | 100 W Main St, Salem, IL 62881-1500 |
| Natalie D Spiller | Physician Assistant | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Street Address |
111 W MAIN ST |
| City | DU QUOIN |
| State | IL |
| Zip | 62832-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Boerner | Ophthalmology | 111 W Main St, Suite 200, Boise, ID 83702-7308 | |
| George William Campbell | Family Medicine | Foothills Family Medicine of Westminster | 111 W Main St, Westminster, SC 29693-1668 |
| Margot C Prendergast | Clinical Social Worker | 111 W Main St, Hyde Park, VT 05655-4421 | |
| Bret Alan Kelley | Chiropractic | 111 W Main St, Kelley Spine and Sport, Independence, KS 67301-3510 | |
| Steven W Horak | Chiropractic | 111 W Main St, Countryside Chiro Cl, Fredericksburg, IA 50630-7705 | |
| William H Feagin | Optometry | 111 W Main St, Dothan, AL 36301-1625 | |
| Alexis E Lorinskas | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Deborah M Nordstrom | Clinical Social Worker | 111 W Main St, Suite 305, Inverness, FL 34450-4807 | |
| Melody Hof | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Lydia Nightingale | Obstetrics/gynecology | Variety Care Inc | 111 W Main St, Fort Cobb, OK 73038-5863 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erhime T Badejo | Family Medicine | Integritas Emergency Physician Services LLC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Zachary R Gustavison | Physician Assistant | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Sandra Marie Tate | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| David A Dickinson | Podiatry | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Heather S Burns | Registered Dietitian Or Nutrition Professional | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Suhail Z Istanbouly | Internal Medicine | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Issa Abedmahmoud | Endocrinology | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Jacqueline A Treschuk Bahn | Diagnostic Radiology | Cape Radiology Group PC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Danielle Shea Klump | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Mandie Bagwell | Nurse Practitioner | Marshall Browning Hospital Association | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Find all physicians in zip 62832 | |||
| City | DU QUOIN |
| Zip Code | 62832 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DU QUOIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misty D Hammond.
| 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.