Deirdre M Hart (NPI# 1033408489, PAC ID# 4082915012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1033408489 |
| PAC ID by PECOS | 4082915012 |
| Professional Enrollment ID | I20180726000404 |
| Full Name | Deirdre M Hart |
| Organization Legal Name | LINCOLN SURGICAL ASSOCIATES, LTD. |
| Address |
1414 Cross St Suite 330 Shiloh IL 62269-2988 |
| Phone Number | 6182777400 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 9335320597 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140307 | METRO-EAST SERVICES INC |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140185 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1414 Cross St, Suite 330, Shiloh, IL 62269-2988 | 6182777400 | LINCOLN SURGICAL ASSOCIATES, LTD. |
| Organization Legal Name | LINCOLN SURGICAL ASSOCIATES, LTD. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Loethen | General Surgery | Lincoln Surgical Associates, Ltd. | 1414 Cross St, Suite 330, Shiloh, IL 62269-2988 |
| Bernard J Szopa | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Thomas V Luong | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Elizabeth A Renaker Jansen | Plastic and Reconstructive Surgery | Lincoln Surgical Associates, Ltd. | 1414 Cross St, Suite 330, Shiloh, IL 62269-2988 |
| Douglas B Aach | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Donald S Crouch | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Stacy L Stratmann | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| James J Clanahan | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Kevin T Barnett | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Briana R Waldeck | Nurse Practitioner | Lincoln Surgical Associates, Ltd. | 6812 State Route 162, Suite 21, Maryville, IL 62062-8565 |
| Street Address |
1414 CROSS ST SUITE 330 |
| City | SHILOH |
| State | IL |
| Zip | 62269-2988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Loethen | General Surgery | Lincoln Surgical Associates, Ltd. | 1414 Cross St, Suite 330, Shiloh, IL 62269-2988 |
| Alexis A Mcallister | Nurse Practitioner | Washington University Physicians In Illinois Inc | 1414 Cross St, Suite 140, Shiloh, IL 62269-2988 |
| Elizabeth A Renaker Jansen | Plastic and Reconstructive Surgery | Lincoln Surgical Associates, Ltd. | 1414 Cross St, Suite 330, Shiloh, IL 62269-2988 |
| Megan Elizabeth Foeller | Obstetrics/gynecology | Washington University Physicians In Illinois Inc | 1414 Cross St, Suite 140, Shiloh, IL 62269-2988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Balabas | Optometry | Nucrown Inc | 1560w Us Hwy 50, O Fallon, IL 62269 |
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Shirley S Sheth | Emergency Medicine | Cepamerica Illinois LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Kathy L Liefer | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Bart S Bowers | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Breanna L Gawrys | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Yashaswi S Belvadi | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Bernard J Szopa | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Find all physicians in zip 62269 | |||
| City | SHILOH |
| Zip Code | 62269 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | SHILOH + COLORECTAL SURGERY (PROCTOLOGY) |
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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.