Southern Orthopedic Associates Sc | |
510 Lincoln Dr, Herrin, IL 62948-6334 | |
(618) 997-6800 | |
Not Available |
Full Name | Southern Orthopedic Associates Sc |
---|---|
Type | Facility |
Speciality | Orthopaedic Surgery |
Location | 510 Lincoln Dr, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396792412 | NPI | - | NPPES |
Provider Name | Frederick T Deweese |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1891784757 PECOS PAC ID: 0941109649 Enrollment ID: I20040105000412 |
Provider Name | Robert Deaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386750404 PECOS PAC ID: 2264421577 Enrollment ID: I20040511001226 |
Provider Name | Treg Brown |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598870115 PECOS PAC ID: 0648254425 Enrollment ID: I20040617001159 |
Provider Name | Kimberly A Peters |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568578680 PECOS PAC ID: 8325011158 Enrollment ID: I20040818001106 |
Provider Name | Pamela Hunter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164537783 PECOS PAC ID: 6406886787 Enrollment ID: I20050816001108 |
Provider Name | John T Davis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063436756 PECOS PAC ID: 0244233948 Enrollment ID: I20060818000426 |
Provider Name | William R Adams Ii |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245260108 PECOS PAC ID: 0648279737 Enrollment ID: I20061221000158 |
Provider Name | Eric Osman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518152404 PECOS PAC ID: 6103911367 Enrollment ID: I20071003000039 |
Provider Name | Jeffery Michael Jones |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1295998011 PECOS PAC ID: 1951460997 Enrollment ID: I20081106000175 |
Provider Name | Dane Elliott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437301009 PECOS PAC ID: 5597828053 Enrollment ID: I20090108000708 |
Provider Name | James Murphy |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1336183854 PECOS PAC ID: 2365471240 Enrollment ID: I20100130000037 |
Provider Name | Steven D Young |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1215031943 PECOS PAC ID: 0941358873 Enrollment ID: I20100416000817 |
Provider Name | James M Davis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063516797 PECOS PAC ID: 7416932140 Enrollment ID: I20100419000047 |
Provider Name | Bret H Miller |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922008754 PECOS PAC ID: 1456401058 Enrollment ID: I20100422000745 |
Provider Name | Roland J Barr |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1881709400 PECOS PAC ID: 5496803322 Enrollment ID: I20100628000850 |
Provider Name | Thomas W Davis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295842870 PECOS PAC ID: 0244227841 Enrollment ID: I20100628001033 |
Provider Name | Robert J Golz |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184739716 PECOS PAC ID: 6901881630 Enrollment ID: I20100721000590 |
Provider Name | John B Wood |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1154425882 PECOS PAC ID: 2062497704 Enrollment ID: I20100722000723 |
Provider Name | Richard L Morgan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972607604 PECOS PAC ID: 8123003860 Enrollment ID: I20100722000755 |
Provider Name | Amanda L Brazis |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528354602 PECOS PAC ID: 5092930875 Enrollment ID: I20140711000378 |
Provider Name | Shiraz K Patel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699759449 PECOS PAC ID: 9436058286 Enrollment ID: I20151022002121 |
Provider Name | Jessica Milburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669833026 PECOS PAC ID: 7911204300 Enrollment ID: I20160330001300 |
Provider Name | Nicole L Cheek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659890069 PECOS PAC ID: 2860758976 Enrollment ID: I20171106002660 |
Provider Name | Tennyson W Lee |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1518964980 PECOS PAC ID: 9032014923 Enrollment ID: I20190108000076 |
Provider Name | Teresa Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639690191 PECOS PAC ID: 0042557845 Enrollment ID: I20190201001502 |
Provider Name | Michelle L Steh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689235715 PECOS PAC ID: 7012243264 Enrollment ID: I20190725000571 |
Provider Name | Kali J Moe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790238160 PECOS PAC ID: 6103104534 Enrollment ID: I20200901002134 |
Provider Name | Haines K Paik |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780889063 PECOS PAC ID: 3274715248 Enrollment ID: I20210309002426 |
Provider Name | Rachel Peterson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629682471 PECOS PAC ID: 7517378565 Enrollment ID: I20210423000423 |
Provider Name | Gunnar M Galloway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447918123 PECOS PAC ID: 4587056957 Enrollment ID: I20220114000488 |
Provider Name | David C Prather |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295511848 PECOS PAC ID: 5890148134 Enrollment ID: I20240202000312 |
Provider Name | Bryan G Anderson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1760820989 PECOS PAC ID: 9739460718 Enrollment ID: I20240624003284 |
Provider Name | Rhett A Macneille |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629574009 PECOS PAC ID: 6608233127 Enrollment ID: I20240625003270 |
Provider Name | Donald D Davis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508353954 PECOS PAC ID: 2769845411 Enrollment ID: I20240822002799 |
Provider Name | Austin Jameson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699201566 PECOS PAC ID: 8022387125 Enrollment ID: I20250306000094 |
Provider Name | Joseph Lambert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396945747 PECOS PAC ID: 4789822362 Enrollment ID: I20250314001042 |
Provider Name | Vernon W Duncan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487606984 PECOS PAC ID: 8921010612 Enrollment ID: I20250314001359 |
Provider Name | Harold L Halfhill |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407842651 PECOS PAC ID: 3476689852 Enrollment ID: I20250314001486 |
Mailing Address | Practice Location Address |
---|---|
Southern Orthopedic Associates Sc 510 Lincoln Drive, Herrin, IL 62948 Ph: (618) 997-6800 | Southern Orthopedic Associates Sc 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 |