Herbert E Childress (NPI# 1033198759, PAC ID# 7012913866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033198759 |
| PAC ID by PECOS | 7012913866 |
| Professional Enrollment ID | I20100514000059 |
| Full Name | Herbert E Childress |
| Organization Legal Name | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Address |
1000 Central St La Belle MO 63447-2092 |
| Phone Number | 6604623266 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749192375 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140015 | BLESSING HOSPITAL |
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Central St, La Belle, MO 63447-2092 | 6604623266 | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| 1002 Central St, La Belle, MO 63447-2092 | 6602133234 | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| 105 E Quincy St, Quincy Medical Group, Lewistown, MO 63452-2560 | 5732152715 | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Organization Legal Name | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Physicians | 193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Zinn | Qualified Speech Language Pathologist | Quincy Physicians and Surgeons Clinic, Sc | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3433 |
| Adam Rafi | Interventional Cardiology | Quincy Physicians and Surgeons Clinic, Sc | 1118 Hampshire St, Quincy, IL 62301-3027 |
| Laura E Garrett | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 521 E Main St, Mount Sterling, IL 62353-1378 |
| Peter P Perll | General Surgery | Quincy Physicians and Surgeons Clinic, Sc | 1450 N County Rd 2050, Carthage, IL 62321-3551 |
| Erin Mj Sheffield | Oral Surgery | Quincy Physicians and Surgeons Clinic, Sc | 3915 Maine St, Suite 3, Quincy, IL 62305-5843 |
| Kelly A Durst-sharpe | Optometry | Quincy Physicians and Surgeons Clinic, Sc | 1125 Hampshire St, Quincy, IL 62301-3026 |
| Jamey L Washburn | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 1425 Morgan St, Keokuk, IA 52632-4000 |
| Kendra J Conkright | Internal Medicine | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Jessica L Bentele | Clinical Social Worker | Quincy Physicians and Surgeons Clinic, Sc | 868 Mortimer St, Barry, IL 62312-1249 |
| Ryan D Owens | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 105 E Quincy St, Quincy Medical Group, Lewistown, MO 63452-2560 |
| Street Address |
1000 CENTRAL ST |
| City | LA BELLE |
| State | MO |
| Zip | 63447-2092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Elton | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 615, Evanston, IL 60201-1779 |
| Kristina D Drabkin | Physical Medicine and Rehabilitation | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 880, Evanston, IL 60201-1780 |
| Innocentcia Wagala Ayafor | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Mary Ellen Acree | Infectious Disease | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Erica N Sis | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Amit K Pursnani | Cardiovascular Disease (cardiology) | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Derek B Wall | General Surgery | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Mark D Metzl | Cardiac Electrophysiology | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Thao T Ong | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 800, Evanston, IL 60201-1780 |
| Lena Adrienne Colletta | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 1000 Central St, Suite 615, Evanston, IL 60201-1779 |
| Find all physicians in the same address | |||
| City | LA BELLE |
| Zip Code | 63447 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA BELLE + FAMILY MEDICINE |
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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.