Danielle M Weems (NPI# 1811094071, PAC ID# 7810054012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811094071 |
| PAC ID by PECOS | 7810054012 |
| Professional Enrollment ID | I20090313000482 |
| Full Name | Danielle M Weems |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Address |
3005 Sunset Hills Blvd S Edwardsville IL 62025-3734 |
| Phone Number | 9858674050 |
| Gender | F |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1951552900 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260032 | BARNES JEWISH HOSPITAL |
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 190176 | TULANE MEDICAL CENTER |
| 190218 | SABINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 | 9858674050 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734 | 9525951301 | FRED SMELTZER MD AND ASSOCIATES INC |
| 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 31436272001 | WASHINGTON UNIVERSITY |
| Organization Legal Name | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Atkinson | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 5827 Cedar Hill Way, San Antonio, TX 78253-5530 |
| Kenton E Kagy | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 722 Catalina Aisle St, Las Vegas, NV 89138-4608 |
| Kathryn Elizabeth Pflug | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 95 Judge Tanner Blvd, Covington, LA 70433-7500 |
| Ketan C Davae | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 156 Dedham St, Canton, MA 02021-1509 |
| Carla V Ramas | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 1417 Ne 27th St, Fort Lauderdale, FL 33334-4344 |
| Jed A Santa Maria | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 452 Devonshire Dr, Brea, CA 92821-6014 |
| Alison M Robinette | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 9290 E Thompson Peak Pkwy, Unit 240, Scottsdale, AZ 85255-4512 |
| Dennis Patrick Lindfors | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 822 24th Ave Nw, Gig Harbor, WA 98335-7850 |
| Alan J Kopp | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 22 E 1st St, Suite 6, New York, NY 10003-9384 |
| Julie K Shaffrey | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 6 Old Manor Ct, Reisterstown, MD 21136-5664 |
| Street Address |
3005 SUNSET HILLS BLVD S |
| City | EDWARDSVILLE |
| State | IL |
| Zip | 62025-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Treloar | Clinical Social Worker | 1046 Florida St, Edwardsville, IL 62025-1420 | |
| Kelli Suzanne Fultz | Clinical Social Worker | 222 H St, Edwardsville, IL 62025-1528 | |
| Robert P Devine | Chiropractic | 211 Hillsboro Ave, Edwardsville, IL 62025-1623 | |
| Nathan A Vuagniaux | Chiropractic | 309 Hillsboro Ave, Edwardsville, IL 62025-1727 | |
| Rachel V Tompkins | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Alexander R James | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Curtis R Baird | Chiropractic | 239 S Main St, Edwardsville, IL 62025-1921 | |
| Emily J Colvin | Chiropractic | Pain Relief Center of Vandalia Inc | 200 S Buchanan St, Edwardsville, IL 62025-2109 |
| Lois Ann Buchta Ladd | Chiropractic | 403 Wolf St, Edwardsville, IL 62025-2138 | |
| Natalie J Carr | Optometry | 2100 Troy Rd, Edwardsville, IL 62025-2595 | |
| Find all physicians in zip 62025 | |||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EDWARDSVILLE + DIAGNOSTIC RADIOLOGY |
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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.