Charles Gill (NPI# 1265402879, PAC ID# 7214066851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1265402879 |
| PAC ID by PECOS | 7214066851 |
| Professional Enrollment ID | I20180809004080 |
| Full Name | Charles Gill |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Address |
1326 S Service W Rd Suite 30 Sullivan MO 63080-2306 |
| Phone Number | 6362395155 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5395768253 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| 261319 | LINCOLN COUNTY MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 | 6362395155 | MERCY CLINIC UROLOGY LLC |
| 901 Patients 1st Dr, Suite 3400, Washington, MO 63090-4700 | 6362395155 | MERCY CLINIC UROLOGY LLC |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurdarshan Sandhu | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Adam Salaber | Physician Assistant | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Amanda Heisel | Nurse Practitioner | Mercy Clinic Urology LLC | 901 Patients 1st Dr, Suite 3400, Washington, MO 63090-4700 |
| Thomas H Landon | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Patricia W Heller | Urology | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Sunil M Apte | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Robin D Goff | Nurse Practitioner | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Carrie Elise Johans | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Jacob Parke | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Rajen H Doshi | Urology | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Street Address |
1326 S SERVICE W RD SUITE 30 |
| City | SULLIVAN |
| State | MO |
| Zip | 63080-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felipe A Eljaiek | Internal Medicine | Mercy Clinic East Communities | 1326 S Service W Rd, Suite 20, Sullivan, MO 63080-2306 |
| Thomas H Landon | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Cynthia K Duga | Nurse Practitioner | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Krystle A Reed | Nurse Practitioner | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Kamealya Farrell | Nurse Practitioner | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Danielle R Clapper | Registered Dietitian Or Nutrition Professional | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Sunil M Apte | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Jose R Remo Jr. | Internal Medicine | Mercy Clinic East Communities | 1326 S Service W Rd, Suite 20, Sullivan, MO 63080-2306 |
| Tammy Watz | Nurse Practitioner | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Tina Montee | Nurse Practitioner | Mercy Clinic East Communities | 1326 S Service W Rd, Sullivan, MO 63080-2306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Iliff | Occupational Therapy | 103 Grande Ctr, Sullivan, MO 63080-1266 | |
| Lindsay Arnette | Physical Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Meghan Joyce Berti | Speech Language Pathologist | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Mary E Hulsey | Occupational Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| David P Prange | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Joseph Aemilius Stroetker | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Jason T Riley | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Kyle Sherwood | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Adeel I Khan | Pulmonary Disease | Mercy Clinic Pulmonology Washington LLC | 1326 S Service Rd W, Suite 20, Sullivan, MO 63080-2306 |
| Monica Rae Drylewicz | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Find all physicians in zip 63080 | |||
| City | SULLIVAN |
| Zip Code | 63080 |
| Specialty | UROLOGY |
| City + Specialty | SULLIVAN + UROLOGY |
Please comment or provide details below to improve the information on Charles Gill.
| 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.