Vijay Laxmi Misra (NPI# 1164475877, PAC ID# 3971545823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1164475877 |
| PAC ID by PECOS | 3971545823 |
| Professional Enrollment ID | I20110107000891 |
| Full Name | Vijay Laxmi Misra |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Address |
101 S Major Eureka IL 61530-1246 |
| Phone Number | 3094672371 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0143216630 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| 141309 | ADVOCATE EUREKA HOSPITAL |
| 140161 | SAINT JAMES HOSPITAL |
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 S Major, Eureka, IL 61530-1246 | 3094672371 | DIGESTIVE DISEASE CONSULTANTS LTD |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Clark | Gastroenterology | Digestive Disease Consultants Ltd | 422 W White St, Clinton, IL 61727-2272 |
| Kenneth R Schoenig | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Amiy J Stites | Physician Assistant | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Thomas M Deweert | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Philip M Koszyk | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Brooke Davis | Nurse Practitioner | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Normal, IL 61761-3595 |
| Street Address |
101 S MAJOR |
| City | EUREKA |
| State | IL |
| Zip | 61530-1246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott C Oconnor | Podiatry | 105 S Major, Eureka, IL 61530-1246 | |
| Shane C Fogo | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christopher R Hughes | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Brian Shore | Physician Assistant | Central Illinois Orthopedic Surgery II LLC. | 101 S Major St, Eureka, IL 61530-1246 |
| David L Miller | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christie L Rocke | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Amit S Parkhe | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Advocate Eureka Hospital, Eureka, IL 61530-1246 |
| Ricardo Vallejo | Pain Management | Millennium Pain Center LLC | 101 S Major St, Eureka, IL 61530-1246 |
| Clark Anderson Ii | Physician Assistant | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Donald E Penn Jr. | Gastroenterology | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Find all physicians in zip 61530 | |||
| City | EUREKA |
| Zip Code | 61530 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | EUREKA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Vijay Laxmi Misra.
| 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.