Andrew Mcmorris Iliff (NPI# 1851654818, PAC ID# 3476843038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1851654818 |
| PAC ID by PECOS | 3476843038 |
| Professional Enrollment ID | I20180707000144 |
| Full Name | Andrew Mcmorris Iliff |
| Organization Legal Name | MISSOURI CANCER ASSOCIATES LLC |
| Address |
603 W Pierce St Kirksville MO 63501-1448 |
| Phone Number | 6607851050 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 8729975305 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| 261313 | MACON COUNTY SAMARITAN MEMORIAL HOSPITAL |
| 260064 | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| Address | Phone | Organization |
|---|---|---|
| 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 | 5738747800 | MISSOURI CANCER ASSOCIATES LLC |
| 603 W Pierce St, Kirksville, MO 63501-1448 | 6607851050 | MISSOURI CANCER ASSOCIATES LLC |
| Organization Legal Name | MISSOURI CANCER ASSOCIATES LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Cupp | Urology | Missouri Cancer Associates LLC | 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 |
| Mark J Vellek | Hematology/oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Mark P Bryer | Radiation Oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Kwai Mung Chin | Nurse Practitioner | Missouri Cancer Associates LLC | 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 |
| Elangovan Balakrishnan | Hematology/oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| William Earl Decker | Radiation Oncology | Missouri Cancer Associates LLC | 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 |
| Mark M Tungesvik | Hematology/oncology | Missouri Cancer Associates LLC | 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 |
| Robert E Remis | Urology | Missouri Cancer Associates LLC | 105 N Keene St, 201 Urology Associates of Central Missouri, Columbia, MO 65201-8401 |
| Michael P Hoeh | Urology | Missouri Cancer Associates LLC | 105 N Keene St, 201 Urology Associates of Central Missouri, Columbia, MO 65201-8401 |
| Steven M Dresner | Urology | Missouri Cancer Associates LLC | 1705 E Broadway, Suite 100, Columbia, MO 65201-7167 |
| Street Address |
603 W PIERCE ST |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-1448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Vellek | Hematology/oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Mark P Bryer | Radiation Oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Elangovan Balakrishnan | Hematology/oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Joseph M Bean | Radiation Oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Umasankar Ramadoss | Medical Oncology | Missouri Cancer Associates LLC | 603 W Pierce St, Kirksville, MO 63501-1448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KIRKSVILLE + 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.