Michael Murray Wall (NPI# 1093772311, PAC ID# 2668463449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093772311 |
| PAC ID by PECOS | 2668463449 |
| Professional Enrollment ID | I20040520000721 |
| Full Name | Michael Murray Wall |
| Organization Legal Name | DECATUR MEMORIAL HOSPITAL |
| Address |
241 W Weaver Rd Suite 145c Forsyth IL 62535-9767 |
| Phone Number | 2178765200 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| 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 |
| 140166 | ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 241 W Weaver Rd, Suite 145c, Forsyth, IL 62535-9767 | 2178765200 | 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 |
241 W WEAVER RD SUITE 145C |
| City | FORSYTH |
| State | IL |
| Zip | 62535-9767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne E Schniepp | Nurse Practitioner | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 145c, Forsyth, IL 62535-9767 |
| Sunni Delahunty | Physician Assistant | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 145a, Forsyth, IL 62535-9765 |
| Maryam Qureshi | Family Medicine | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 145d, Forsyth, IL 62535-9768 |
| Linda Wilson Klemm | Nurse Practitioner | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9770 |
| Kenneth W Scribner | Family Medicine | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 145d, Forsyth, IL 62535-9768 |
| Margaret D Luckenbill | Nurse Practitioner | Decatur Memorial Hospital | 241 W Weaver Rd, Suite 240, Forsyth, IL 62535-9770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
| Dylan E Lewis | Physical Therapy | Midwest PCw Pt LLC | 849 S Route 51, Forsyth, IL 62535-8807 |
| Ashley Phillips | Physical Therapy | Midwest PCw Pt LLC | 849 S Route 51, Forsyth, IL 62535-8807 |
| Michelle Marquis | Physical Therapy | Midwest PCw Pt LLC | 849 S Route 51, Forsyth, IL 62535-8807 |
| Chad Hatayama | Physical Therapy | Midwest PCw Pt LLC | 849 S Route 51, Forsyth, IL 62535-8807 |
| Hillary Denny | Physical Therapy | Midwest PCw Pt LLC | 849 S Route 51, Forsyth, IL 62535-8807 |
| Morgan A Massey | Nurse Practitioner | Hshs Medical Group Inc | 845s Route 51, Forsyth, IL 62535-9759 |
| Stephanie Sueann Stivers | Nurse Practitioner | Hshs Medical Group Inc | 845s Route 51, Forsyth, IL 62535-9759 |
| Kimberly A Sheppard | Chiropractic | Back Institute Ltd | 1275 Clement Ave, Forsyth, IL 62535-9806 |
| Kristin E White | Chiropractic | Back Institute Ltd | 1275 Clement Ave, Forsyth, IL 62535-9806 |
| Find all physicians in zip 62535 | |||
| City | FORSYTH |
| Zip Code | 62535 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORSYTH + INTERNAL MEDICINE |
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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.