Tina Hall (NPI# 1578039707, PAC ID# 4284970849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578039707 |
| PAC ID by PECOS | 4284970849 |
| Professional Enrollment ID | I20190118000690 |
| Full Name | Tina Hall |
| Organization Legal Name | UNITED SKIN SPECIALISTS ILLINOIS LTD PC |
| Address |
1054 Martin Luther King Dr Suite 223 Centralia IL 62801-3066 |
| Phone Number | 6182440031 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709138258 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 | 6182440031 | UNITED SKIN SPECIALISTS ILLINOIS LTD PC |
| Organization Legal Name | UNITED SKIN SPECIALISTS ILLINOIS LTD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Amason | Nurse Practitioner | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| George T Nahass | Dermatology | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| Karilyn S Crook | Physician Assistant | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| Street Address |
1054 MARTIN LUTHER KING DR SUITE 223 |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Amason | Nurse Practitioner | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| George T Nahass | Dermatology | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| Stephen T Ang | Gastroenterology | 1054 Martin Luther King Dr, Suite 120, Centralia, IL 62801-3065 | |
| Joel K Barrientos | Urology | 1054 Martin Luther King Dr, Suite 121, Centralia, IL 62801-3065 | |
| Suresh Krishnamoorthy | Internal Medicine | 1054 Martin Luther King Dr, Suite 126, Centralia, IL 62801-3065 | |
| Karilyn S Crook | Physician Assistant | United Skin Specialists Illinois Ltd PC | 1054 Martin Luther King Dr, Suite 223, Centralia, IL 62801-3066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CENTRALIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina Hall.
| 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.