Clark Anderson Ii (NPI# 1750460481, PAC ID# 8628163011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750460481 |
| PAC ID by PECOS | 8628163011 |
| Professional Enrollment ID | I20071001000068 |
| Full Name | Clark Anderson Ii |
| Organization Legal Name | ILLINOIS GASTROENTEROLOGY INSTITUTE S C |
| Address |
101 S Major St Eureka IL 61530-1246 |
| Phone Number | 3094672371 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890726848 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 S Major St, Eureka, IL 61530-1246 | 3094672371 | ILLINOIS GASTROENTEROLOGY INSTITUTE S C |
| 1001 Main St, 500a, Peoria, IL 61606-2038 | 3096724980 | ILLINOIS GASTROENTEROLOGY INSTITUTE S C |
| Organization Legal Name | ILLINOIS GASTROENTEROLOGY INSTITUTE S C |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brynn N Cinnamon | Nurse Practitioner | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Wasim Ellahi | Gastroenterology | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Jennifer Greenwood | Nurse Practitioner | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Michelle Switzer | Certified Registered Nurse Anesthetist (crna) | Illinois Gastroenterology Institute S C | 1001 Main St, Suite 530, Peoria, IL 61606-1907 |
| Abdullah Alrashdan | Gastroenterology | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Kenneth A Bartman Jr. | Certified Registered Nurse Anesthetist (crna) | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Donald E Penn Jr. | Gastroenterology | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Connor T Schuler | Physician Assistant | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Diana Rossi Springer | Certified Registered Nurse Anesthetist (crna) | Illinois Gastroenterology Institute S C | 1001 Main St, 500a, Peoria, IL 61606-2038 |
| Kerry M Maloney | Nurse Practitioner | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Street Address |
101 S MAJOR ST |
| City | EUREKA |
| State | IL |
| Zip | 61530-1246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane C Fogo | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christopher R Hughes | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Brian Shore | Physician Assistant | Central Illinois Orthopedic Surgery II LLC. | 101 S Major St, Eureka, IL 61530-1246 |
| David L Miller | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Christie L Rocke | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Amit S Parkhe | Nurse Practitioner | Advocate Health and Hospitals Corporation | 101 S Major St, Advocate Eureka Hospital, Eureka, IL 61530-1246 |
| Ricardo Vallejo | Pain Management | Millennium Pain Center LLC | 101 S Major St, Eureka, IL 61530-1246 |
| Donald E Penn Jr. | Gastroenterology | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Steven K Jones | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Connor T Schuler | Physician Assistant | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay Laxmi Misra | Gastroenterology | Digestive Disease Consultants Ltd | 101 S Major, Eureka, IL 61530-1246 |
| Scott C Oconnor | Podiatry | 105 S Major, Eureka, IL 61530-1246 | |
| Steven C Ingalsbe | Family Medicine | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Kerry M Maloney | Nurse Practitioner | Illinois Gastroenterology Institute S C | 101 S Major St, Eureka, IL 61530-1246 |
| Sharon L Moy | Family Practice | Advocate Health and Hospitals Corporation | 101 S Major St, Eureka, IL 61530-1246 |
| Joseph S. Borreggine | Podiatry | Preferred Podiatry Group PC | 610 W Cruger Ave, Eureka, IL 61530-1329 |
| Carrie A Musselman | Chiropractic | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Joy C Schramm | Nurse Practitioner | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Todd W Gander | Chiropractic | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Amanda K Krutke | Certified Clinical Nurse Specialist (cns) | Preferred Care Medical Center Ltd | 1932 S Main St, Eureka, IL 61530-1666 |
| Find all physicians in zip 61530 | |||
| City | EUREKA |
| Zip Code | 61530 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EUREKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clark Anderson Ii.
| 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.