So Youn Kim-shepherd (NPI# 1831148469, PAC ID# 4587616149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831148469 |
| PAC ID by PECOS | 4587616149 |
| Professional Enrollment ID | I20190402002215 |
| Full Name | So Youn Kim-shepherd |
| Organization Legal Name | VITUITY ILLINOIS AUC LLP |
| Address |
900 W Temple Ave Bldg B Effingham IL 62401-2121 |
| Phone Number | 2173471690 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547516932 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 | 2173471690 | VITUITY ILLINOIS AUC LLP |
| 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 6182342120 | CEPAMERICA ILLINOIS LLP |
| Organization Legal Name | VITUITY ILLINOIS AUC LLP |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam E Stenger | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Delwin S Merchant | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Charles E Auer | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Renee A Kohlman | Nurse Practitioner | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Bethany R Stone | Nurse Practitioner | Vituity Illinois Auc LLP | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 |
| Beth M Heppermann | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Matthew Melamed | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Nicholas Dean Rathert | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| James G Coleman | Physician Assistant | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Ameet S Brahmavar | Emergency Medicine | Vituity Illinois Auc LLP | 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 |
| Street Address |
900 W TEMPLE AVE BLDG B |
| City | EFFINGHAM |
| State | IL |
| Zip | 62401-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Urch | Orthopedic Surgery | Hshs Medical Group Inc | 900 W Temple Ave, Suite 210, Effingham, IL 62401-2187 |
| Nitin Kumar | Gastroenterology | Hshs Medical Group Inc | 900 W Temple Ave, Suite 210, Effingham, IL 62401-2187 |
| Amanda Stroud | Nurse Practitioner | Hshs Medical Group Inc | 900 W Temple Ave, Effingham, IL 62401-2121 |
| Ameet S Brahmavar | Emergency Medicine | Vituity Illinois Auc LLP | 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 |
| Endia Walls | Family Medicine | Vituity Illinois Auc LLP | 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 |
| Michele K Hartke | Nurse Practitioner | Hshs Medical Group Inc | 900 W Temple Ave, Effingham, IL 62401-2121 |
| Michael Jin Kim | Family Medicine | Vituity Illinois Auc LLP | 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 |
| Kevin A Calder | Plastic and Reconstructive Surgery | Hshs Medical Group Inc | 900 W Temple Ave, Effingham, IL 62401-2121 |
| Ruben D Boyajian | General Surgery | 900 W Temple Ave, Suite 2500, Effingham, IL 62401-2121 | |
| Eugene Dust | Internal Medicine | Mid-illinois Medical Care Associates, LLC | 900 W Temple Ave, Suite 205, Effingham, IL 62401-2187 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Rhodes | Chiropractic | 200 E Fayette Ave, Effingham, IL 62401-0022 | |
| Lenora M Drees | Nurse Practitioner | Family Care Associates of Effingham, S.c. | 1106 N Merchant St Po Box, Suite 665, Effingham, IL 62401-0665 |
| P Dharmadev D Nayak | Urology | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Angela D Yocom | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Alicia J Davis | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Karl S. Rudert | Emergency Medicine | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 |
| Christopher P Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Anthony R Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Frank S Lee | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Joseph M Ajdinovich | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Find all physicians in zip 62401 | |||
| City | EFFINGHAM |
| Zip Code | 62401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EFFINGHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on So Youn Kim-shepherd.
| 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.