Manish Mathur (NPI# 1598848194, PAC ID# 3971547365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1598848194 |
PAC ID by PECOS | 3971547365 |
Professional Enrollment ID | I20050617000117 |
Full Name | Manish Mathur |
Organization Legal Name | STAUNTON CLINIC LLC |
Address |
444 N Edwardsville St Staunton IL 62088-1334 |
Phone Number | 6186353800701 |
Gender | M |
Credential | MD |
Medical School | ILLINOIS MEDICAL COLLEGE |
Graduation Year | 2000 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 1557305943 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141306 | COMMUNITY MEMORIAL HOSPITAL |
141350 | ST FRANCIS HOSPITAL |
140289 | ANDERSON HOSPITAL |
140002 | ALTON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
444 N Edwardsville St, Staunton, IL 62088-1334 | 6186353800701 | STAUNTON CLINIC LLC |
Organization Legal Name | STAUNTON CLINIC LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan Charles Siegfried | Pediatric Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
Rajneesh S Jain | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
Street Address |
444 N EDWARDSVILLE ST |
City | STAUNTON |
State | IL |
Zip | 62088-1334 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan Charles Siegfried | Pediatric Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
Rajneesh S Jain | Internal Medicine | Staunton Clinic LLC | 444 N Edwardsville St, Staunton, IL 62088-1334 |
Name | Specialty | Organization | Address |
---|---|---|---|
David R Peterson | Emergency Medicine | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
Anne Leslie Kramer | Nurse Practitioner | Illinois Emergency Physicians LLP | 400 N Caldwell St, Staunton, IL 62088-1173 |
Richard C Bell | Dermatology | Associates In Dermatology and Cutaneous Surgery Ltd | 400 N Caldwell St, Staunton, IL 62088-1173 |
Sherry A Tindall | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
Amanda N Ventimiglia | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
Jeffrey David Roller | Chiropractic | 426 W Pearl St, Staunton, IL 62088-1313 | |
Joshua D Poos | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
Mark Alan Savage | Family Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
Richard F Schock Ii | Family Practice | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
Danilo M Ofreneo | Emergency Medicine | Community Memorial Hospital Association | 400 N Caldwell St, Staunton, IL 62088-1423 |
Find all physicians in zip 62088 |
City | STAUNTON |
Zip Code | 62088 |
Specialty | INTERNAL MEDICINE |
City + Specialty | STAUNTON + 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.