John Matthew Felder Iii (NPI# 1336373828, PAC ID# 5698068104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1336373828 |
| PAC ID by PECOS | 5698068104 |
| Professional Enrollment ID | I20170109001648 |
| Full Name | John Matthew Felder Iii |
| Organization Legal Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Address |
1 Memorial Dr Alton IL 62002-6722 |
| Phone Number | 6184637311 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY, HAND SURGERY |
| Group Practice PAC ID | 4789945163 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140002 | ALTON MEMORIAL HOSPITAL |
| 260032 | BARNES JEWISH HOSPITAL |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 1 Memorial Dr, Alton, IL 62002-6722 | 6184637311 | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| 2 Memorial Dr, Alton, IL 62002-6723 | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC | |
| 4000 N Illinois Ln, Swansea, IL 62226-1969 | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Organization Legal Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nishant Poddar | Medical Oncology | Washington University Physicians In Illinois Inc | 8 Sunset Hills Professional Ctr, Suite 100, Edwardsville, IL 62025-3760 |
| Stephanie M Perkins | Radiation Oncology | Washington University Physicians In Illinois Inc | 6 Memorial Dr, Bldg C, Alton, IL 62002-6751 |
| John L Visconti | Hematology/oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| Michelle V Jacob | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Alfred O Greco | Medical Oncology | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Suite C, Swansea, IL 62226-1969 |
| James M Close | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Lawrence Osei | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Alexis A Mcallister | Nurse Practitioner | Washington University Physicians In Illinois Inc | 1414 Cross St, Suite 140, Shiloh, IL 62269-2988 |
| Eric M Yeager | Nurse Practitioner | Washington University Physicians In Illinois Inc | 4000 N Illinois Ln, Swansea, IL 62226-1969 |
| Wade Larry Thorstad | Radiation Oncology | Washington University Physicians In Illinois Inc | 6 Memorial Dr, Bldg C, Alton, IL 62002-6751 |
| Street Address |
1 MEMORIAL DR |
| City | ALTON |
| State | IL |
| Zip | 62002-6722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Maggie Duffey Lewis | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 1 Memorial Dr, Alton, IL 62002-6755 |
| David A Harmon | Family Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Vibhu Dhawan | Internal Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| David R Riedel | Gastroenterology | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Christopher R Aldridge | General Surgery | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Gretchen L Byrkit | Obstetrics/gynecology | Womens Health Care Specialists of Decatur LLC | 1 Memorial Dr, Suite 216, Decatur, IL 62526-6321 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Ethan E Reynolds | Anesthesiology | Midwest Anesthesia Providers Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | ALTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on John Matthew Felder Iii.
| 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.