Nicholas Nasry Tadros (NPI# 1114185394, PAC ID# 8022255157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1114185394 |
| PAC ID by PECOS | 8022255157 |
| Professional Enrollment ID | I20170928003125 |
| Full Name | Nicholas Nasry Tadros |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Address |
1750 E Lake Shore Dr Suite Ll2 Decatur IL 62521-3803 |
| Phone Number | 2175458000 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140148 | MEMORIAL MEDICAL CENTER |
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Physicians | 259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
| Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
| Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
| Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Momin Saulat Siddique | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Street Address |
1750 E LAKE SHORE DR SUITE LL2 |
| City | DECATUR |
| State | IL |
| Zip | 62521-3803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Karasis | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Virginia Ann Kerwin | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Jignesh P Modi | Infectious Disease | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Mohammed A Rahman | Neurosurgery | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Hima Atluri | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Jennifer R Ware | Physician Assistant | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Anthony O Amiewalan | Obstetrics/gynecology | 1750 E Lake Shore Dr, Suite 320, Decatur, IL 62521-3806 | |
| Bradley Fields Schwartz | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Justin W Kierbs | Nurse Practitioner | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Naeemuddin Jatoi | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Miller | Nurse Practitioner | Decatur Memorial Hospital | 4455 Us Route 36 E, Decatur, IL 62521 |
| Dana M Ray | Family Medicine | Community Health Improvement Center | 1221 E Condit St, Decatur, IL 62521-1405 |
| Charles Bedford Jr. | Optometry | 1270 S Jasper St, Decatur, IL 62521-3531 | |
| Carrie Ann West | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Bavikatte Shivakumar | Gastroenterology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
| Rama Poola | Endocrinology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Alyson Cathleen Webb | Nurse Practitioner | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Theresa M Henderson | Nurse Practitioner | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Whitney A Ropp | Certified Registered Nurse Anesthetist (crna) | St Marys Hospital Sisters of The Third Order of St Francis | 1800 E Lakeshore Dr, Decatur, IL 62521-3810 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Find all physicians in zip 62521 | |||
| City | DECATUR |
| Zip Code | 62521 |
| Specialty | UROLOGY |
| City + Specialty | DECATUR + UROLOGY |
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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.