Jeffrey T Fierstein (NPI# 1740259043, PAC ID# 8628074010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1740259043 |
PAC ID by PECOS | 8628074010 |
Professional Enrollment ID | I20090306000482 |
Full Name | Jeffrey T Fierstein |
Address |
9 Glen Ed Professional Park Glen Carbon IL 62034-3333 |
Gender | M |
Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
Graduation Year | 1971 |
Primary Specialty | OTOLARYNGOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140289 | ANDERSON HOSPITAL |
141350 | ST FRANCIS HOSPITAL |
140125 | GATEWAY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
9 Glen Ed Professional Park, Glen Carbon, IL 62034-3333 | ||
2100 Madison Ave, Granite City, IL 62040-4713 | ||
805 Saint Francis Way, Litchfield, IL 62056-1779 | ||
6800 State Route 162, Maryville, IL 62062-8500 |
Street Address |
9 GLEN ED PROFESSIONAL PARK |
City | GLEN CARBON |
State | IL |
Zip | 62034-3333 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
Find all physicians in zip 62034 |
City | GLEN CARBON |
Zip Code | 62034 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | GLEN CARBON + OTOLARYNGOLOGY |
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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.