Paul B Williams IIi (NPI# 1982964508, PAC ID# 3577792654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1982964508 |
PAC ID by PECOS | 3577792654 |
Professional Enrollment ID | I20161018000214 |
Full Name | Paul B Williams IIi |
Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Address |
1275 Hawthorn Rd Salem IL 62881-1028 |
Phone Number | 6185484545 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1456256874 |
Number of Group Practice Members | 77 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141345 | SALEM TOWNSHIP HOSPITAL |
Address | Phone | Organization |
---|---|---|
1275 Hawthorn Rd, Salem, IL 62881-1028 | 6185484545 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Physicians | 75 |
Name | Specialty | Organization | Address |
---|---|---|---|
Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
Christa L Metzelaars | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 700 Broadway Ave E, Suite 39, Mattoon, IL 61938-4662 |
Shelley D Reichling | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 824 Locust St, Red Bud, IL 62278-1209 |
Chester B Nay | Physician Assistant | Southern Illinois Healthcare Foundation, Inc. | 302 N Mill St, Greenup, IL 62428-1062 |
Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
Susan K Reynolds | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1215 Vandalia St, Collinsville, IL 62234-4060 |
Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Nanthini Suthan | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2294 |
Street Address |
1275 HAWTHORN RD |
City | SALEM |
State | IL |
Zip | 62881-1028 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
Aristides Juan Garces | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
Name | Specialty | Organization | Address |
---|---|---|---|
Preecha Tawjareon | Diagnostic Radiology | 815 W Main St, Salem, IL 62881-1408 | |
Shanda C Swagler | Nurse Practitioner | Southern Illinois Dermatology, PC | 100 W Main St, Salem, IL 62881-1500 |
Doris A Els | Optometry | 121 N Broadway, Salem, IL 62881-1509 | |
Michael Sebastian Spencer | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
Alan D Montgomery | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
Elizabeth J Wolff | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
Jessie Crabtree | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
Richard D Smith | Chiropractic | 322 W Schwartz St, Salem, IL 62881-1550 | |
Anton J Dubrick | Family Medicine | 420 W Schwartz St, Salem, IL 62881-1552 | |
Michael R Bowman | Chiropractic | Bowman Chiropractic PC | 202 S Broadway, Salem, IL 62881-1612 |
Find all physicians in zip 62881 |
City | SALEM |
Zip Code | 62881 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SALEM + NURSE PRACTITIONER |
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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.