Thomas M Hulsen (NPI# 1417060542, PAC ID# 5597663864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1417060542 |
| PAC ID by PECOS | 5597663864 |
| Professional Enrollment ID | I20031223000468 |
| Full Name | Thomas M Hulsen |
| Organization Legal Name | JAMES J DALLA RIVA MD PC |
| Address |
6812 State Rd 162 Suite 301 Maryville IL 62062 |
| Phone Number | 6182885699 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4082511027 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6812 State Rd 162, Suite 301, Maryville, IL 62062 | 6182885699 | JAMES J DALLA RIVA MD PC |
| Organization Legal Name | JAMES J DALLA RIVA MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James J Dalla Riva | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Bryson Thomas Whalen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Street Address |
6812 STATE RD 162 SUITE 301 |
| City | MARYVILLE |
| State | IL |
| Zip | 62062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie L Paulk | Internal Medicine | Maryville Physicians Services LLC | 6812 State Rd 162, Suite 204, Maryville, IL 62062-8562 |
| James J Dalla Riva | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Bryson Thomas Whalen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Angela Marie Lytle | Nurse Practitioner | Maryville Physicians Services LLC | 6812 State Rd 162, Suite 204, Maryville, IL 62062-8562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shubhangi S Peche | Neurology | St Louis University | 2133 Vadabalene, Maryville, IL 62062 |
| David W Kinscherff | Podiatry | Foot Health Center Inc P C | 122 E Zupan St, Maryville, IL 62062-2010 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Zachary Paul Luchtefeld | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Amanda J Kilzer | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Robert T Farmer | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Holly Harlow Shirley | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Paul G Malcharek | Internal Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Bryan W Reid | Chiropractic | 2805 N Ctr, Maryville, IL 62062-5622 | |
| Kristin Elizabeth Nobbe | Chiropractic | 2805 N Ctr, Maryville, IL 62062-5622 | |
| Find all physicians in zip 62062 | |||
| City | MARYVILLE |
| Zip Code | 62062 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MARYVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Thomas M Hulsen.
| 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.