Danielle Homan (NPI# 1609433697, PAC ID# 7315278660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609433697 |
| PAC ID by PECOS | 7315278660 |
| Professional Enrollment ID | I20191017001132 |
| Full Name | Danielle Homan |
| Organization Legal Name | GRANITE CITY URGENT CARE WALK-IN CLINIC |
| Address |
2861 Madison Ave Granite City IL 62040-3614 |
| Phone Number | 6187097723 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951658285 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2861 Madison Ave, Granite City, IL 62040-3614 | 6187097723 | GRANITE CITY URGENT CARE WALK-IN CLINIC |
| Organization Legal Name | GRANITE CITY URGENT CARE WALK-IN CLINIC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Street Address |
2861 MADISON AVE |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-3614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Sabrina M Shultz | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Bryan Hopkins | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Tabitha Robin Ellsworth | Chiropractic | 3701 Nameoki Rd Unit E, Granite City, IL 62040-3711 | |
| Samantha A Collins | Nurse Practitioner | Ssm Medical Group Inc | 3732 Nameoki Rd, Granite City, IL 62040-3714 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRANITE CITY + PHYSICIAN ASSISTANT |
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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.