Christine R Watson (NPI# 1013943760, PAC ID# 2961489737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013943760 |
| PAC ID by PECOS | 2961489737 |
| Professional Enrollment ID | I20040630000842 |
| Full Name | Christine R Watson |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Address |
9515 Holy Cross Ln Breese IL 62230-3618 |
| Phone Number | 6185264511 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769479203 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9515 Holy Cross Ln, Breese, IL 62230-3618 | 6185264511 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 202 E 3rd St, Centralia, IL 62801-3902 | 6185326311 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 929 Stacey Burk Dr, Flora, IL 62839-3241 | 6186622191 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 | 6189423344 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864-6217 | 6183167041 | 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 |
| 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 |
| Misty D Hammond | Nurse Practitioner | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| 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 |
9515 HOLY CROSS LN |
| City | BREESE |
| State | IL |
| Zip | 62230-3618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alberto Y Butalid | Internal Medicine | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Amy K Krause | Physician Assistant | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Paban Saha | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| John P Scally | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Deborah E Treacy | Emergency Medicine | Cepamerica Illinois LLP | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Arnel A Garcia | Family Medicine | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Thomas B Doyle | Diagnostic Radiology | Dugan Radiology Associates Ltd | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Edward P Feutz | Diagnostic Radiology | Dugan Radiology Associates Ltd | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Pitt | Registered Dietitian Or Nutrition Professional | 370 N 11th St, Breese, IL 62230-1013 | |
| Ryan Lampe | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Justin Mathews | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Sarah J Ruff | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Kathleen M Rivera-kunz | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Kim Peek | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Christina R Diesen | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Travis Allen Isaak | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Craig A Revermann | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Find all physicians in zip 62230 | |||
| City | BREESE |
| Zip Code | 62230 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BREESE + PHYSICIAN ASSISTANT |
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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.