Gerald D Suchomski (NPI# 1538133350, PAC ID# 7618031915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1538133350 |
| PAC ID by PECOS | 7618031915 |
| Professional Enrollment ID | I20090202000241 |
| Full Name | Gerald D Suchomski |
| Organization Legal Name | MEMORIAL PHYSICIAN SERVICES |
| Address |
1 Centre Dr Petersburg IL 62675-9467 |
| Phone Number | 2176327761 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9032005681 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 141347 | CARLINVILLE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Centre Dr, Petersburg, IL 62675-9467 | 2176327761 | MEMORIAL PHYSICIAN SERVICES |
| Organization Legal Name | MEMORIAL PHYSICIAN SERVICES |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Mccormick | Nurse Practitioner | Memorial Physician Services | 3225 Hedley Rd, Springfield, IL 62711-6248 |
| Katie M Turley | Clinical Social Worker | Memorial Physician Services | 2950 S 6th St, Springfield, IL 62703-5904 |
| Lindsey N Ostermeier | Nurse Practitioner | Memorial Physician Services | 3220 Atlanta St, Springfield, IL 62707-8801 |
| Madeleine D Heckenkamp | Nurse Practitioner | Memorial Physician Services | 3132 Old Jacksonville Rd, Suite 110, Springfield, IL 62704-7401 |
| Karen A Koenig | Nurse Practitioner | Memorial Physician Services | 2603 S 6th St, Springfield, IL 62703-3489 |
| Andrea Sheley | Nurse Practitioner | Memorial Physician Services | 515 N College St, Lincoln, IL 62656-1401 |
| Alissa D Smith | Nurse Practitioner | Memorial Physician Services | 101 E Plummer Blvd, Chatham, IL 62629-8047 |
| Benjamin E Montgomery | Family Medicine | Memorial Physician Services | 15 Founders St, Suite 100, Jacksonville, IL 62650-3918 |
| Robert Charles Bussing | Internal Medicine | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Jillian Henry | Obstetrics/gynecology | Memorial Physician Services | 101 E Plummer Blvd, Chatham, IL 62629-8047 |
| Street Address |
1 CENTRE DR |
| City | PETERSBURG |
| State | IL |
| Zip | 62675-9467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Charles Bussing | Internal Medicine | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Jane R Arbuthnot | Obstetrics/gynecology | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Kendra L Sullivan | Nurse Practitioner | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Mary K Conklen | Nurse Practitioner | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Richard L Glover Jr. | Obstetrics/gynecology | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Rachelle L Hodel | Nurse Practitioner | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Steve Lillpop | Pediatric Medicine | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Marshall T Hale | Family Practice | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Kathy A Sheets | Clinical Social Worker | Memorial Physician Services | 1 Centre Dr, Petersburg, IL 62675-9467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Gensler | Chiropractic | Petersburg Spine and Sport Inc | 115 E Douglas Ave, Petersburg, IL 62675-1558 |
| John Charles Curry | Chiropractic | 13936 State Hwy 97, Petersburg, IL 62675-6018 |
| City | PETERSBURG |
| Zip Code | 62675 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PETERSBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gerald D Suchomski.
| 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.