Barry M Mossman (NPI# 1053516294, PAC ID# 8224199468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053516294 |
| PAC ID by PECOS | 8224199468 |
| Professional Enrollment ID | I20081206000206 |
| Full Name | Barry M Mossman |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Address |
2 Memorial Dr Suite 220 Alton IL 62002-6723 |
| Phone Number | 6184741723 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800784083 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 140002 | ALTON MEMORIAL HOSPITAL |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| 140059 | JERSEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 | 6184741723 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Riney | Nurse Practitioner | Fairview Heights Medical Group Sc | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 |
| Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Stanley Gooding | Nurse Practitioner | Fairview Heights Medical Group Sc | 5520 Godfrey Rd, B, Godfrey, IL 62035-2508 |
| Christine A Testa | Nurse Practitioner | Fairview Heights Medical Group Sc | 6810 State Route 162 102, Maryville, IL 62062-8560 |
| Supraja Reddy Reddy | Endocrinology | Fairview Heights Medical Group Sc | 11155 Dunn Rd 109, St Louis, MO 63136-6150 |
| Kristen N Massey | Nurse Practitioner | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Ann M Davis | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Guy W Aton | Internal Medicine | Fairview Heights Medical Group Sc | 3550 College Ave, B, Alton, IL 62002-5008 |
| Mattison Perez | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Lance L Lane | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Street Address |
2 MEMORIAL DR SUITE 220 |
| City | ALTON |
| State | IL |
| Zip | 62002-6723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Riney | Nurse Practitioner | Fairview Heights Medical Group Sc | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 |
| Michele D Brannan | Physician Assistant | Fairview Heights Medical Group Sc | 2 Memorial Dr, Alton, IL 62002-6723 |
| Edward C Elliott | Podiatry | Decatur Memorial Hospital | 2 Memorial Dr, Suite 305, Decatur, IL 62526-3999 |
| Meera Yerrabolu | Internal Medicine | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Barry F Zeffren | Allergy/immunology | 2 Memorial Dr, Suite 103, Alton, IL 62002-6723 | |
| Nauman Jahangir | Neurology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 202, Decatur, IL 62526-1597 |
| Amanda Willane Michaels | Nurse Practitioner | Fairview Heights Medical Group Sc | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 |
| Samuel E Potts | Podiatry | Decatur Memorial Hospital | 2 Memorial Dr, Suite 305, Decatur, IL 62526-3999 |
| Oliver N R Dold | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Kelsey Marie Browne | Nurse Practitioner | Washington University Physicians In Illinois Inc | 2 Memorial Dr, Suite 205, Alton, IL 62002-6723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ALTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Barry M Mossman.
| 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.