| Ryan Lee Buettner, MD | |
|
747 N Rutledge St Fl 5, Springfield, IL 62702-6700 | |
| (217) 545-8000 | |
| Not Available |
| Full Name | Ryan Lee Buettner |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 747 N Rutledge St Fl 5, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467953208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036.165177 (Illinois) | Primary |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Lee Buettner, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Ryan Lee Buettner, MD 747 N Rutledge St Fl 5, Springfield, IL 62702-6700 Ph: (217) 545-8000 |
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Parker Laurance Heger, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St Fl 3, Springfield, IL 62701 Phone: 217-545-3262 Fax: 217-545-7305 | |
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541 | |
Roberta Lynn Koeppen, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Ethan Thomas Nethery, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St Fl 3, Springfield, IL 62701 Phone: 217-545-3262 Fax: 217-545-7305 | |
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 | |
Kevin Mcvary, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Ste Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 |