Christopher M Speidel (NPI# 1427037936, PAC ID# 9537355987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1427037936 |
| PAC ID by PECOS | 9537355987 |
| Professional Enrollment ID | I20101124000749 |
| Full Name | Christopher M Speidel |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
1390 Us Hwy 61 Suite 2300 Festus MO 63028-4121 |
| Phone Number | 6369967190 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260162 | BARNES-JEWISH WEST COUNTY HOSPITAL |
| 260163 | PARKLAND HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1390 Us Hwy 61, Suite 2300, Festus, MO 63028-4121 | 6369967190 | PHYSICIAN GROUPS LC |
| 3023 N Ballas Rd, 200d Bjcmg Cardiology, St Louis, MO 63131-2328 | 3149967272 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Edward Cooper | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Street Address |
1390 US HWY 61 SUITE 2300 |
| City | FESTUS |
| State | MO |
| Zip | 63028-4121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Raethka | Physician Assistant | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Jeffrey K Jenks | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Gregg A Ginsburg | General Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Paul R Maynard | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Angela M Ware | Internal Medicine | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Sushruth Edla | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | FESTUS + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Christopher M Speidel.
| 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.