| Anesthesia Professional Fees | |
|
701 N 1st St Springfield IL 62781-0001 | |
| (217) 788-3000 | |
| Not Available |
| Full Name | Anesthesia Professional Fees |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 N 1st St, Springfield, Illinois |
| Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
| Authorized Official Contact | 2175882626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anesthesia Professional Fees Po Box 3428 Springfield IL 62708-3428 Ph: (217) 588-2626 | Anesthesia Professional Fees 701 N 1st St Springfield IL 62781-0001 Ph: (217) 788-3000 |
| NPI Number | 1568017481 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 7315835949 |
|---|---|
| Medicare Enrollment ID | O20040720000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568017481 | NPI | - | NPPES |
| 453930 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sang H Shin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790764157 PECOS PAC ID: 6709854581 Enrollment ID: I20040920000728 |
| Provider Name | Brett A Wurth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528024254 PECOS PAC ID: 4688670342 Enrollment ID: I20061020000076 |
| Provider Name | Brian R Lopp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558390211 PECOS PAC ID: 7911903679 Enrollment ID: I20061020000112 |
| Provider Name | Scott Alan Sattovia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477587954 PECOS PAC ID: 3971504309 Enrollment ID: I20070126000435 |
| Provider Name | Colin W Liberman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629230834 PECOS PAC ID: 3678625407 Enrollment ID: I20090709000073 |
| Provider Name | Cletus N Pauly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689885352 PECOS PAC ID: 7810183779 Enrollment ID: I20101118000545 |
| Provider Name | Scott M Kerr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386840304 PECOS PAC ID: 4587758826 Enrollment ID: I20101214001016 |
| Provider Name | Peter P Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215916671 PECOS PAC ID: 1153477419 Enrollment ID: I20110312000110 |
| Provider Name | Christopher A Fiedler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780663120 PECOS PAC ID: 8820071665 Enrollment ID: I20110315001006 |
| Provider Name | Joseph S Ducaji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669451001 PECOS PAC ID: 1052596285 Enrollment ID: I20110503000242 |
| Provider Name | Lisa G Grilly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154538080 PECOS PAC ID: 2163690785 Enrollment ID: I20110725000745 |
| Provider Name | Carl M Buoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558516880 PECOS PAC ID: 6103072509 Enrollment ID: I20120816000778 |
| Provider Name | Kristopher T Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912135096 PECOS PAC ID: 0648411603 Enrollment ID: I20130802000492 |
| Provider Name | Mark R Krohe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891015905 PECOS PAC ID: 9638310337 Enrollment ID: I20140630001280 |
| Provider Name | Taften L Kuhl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225323942 PECOS PAC ID: 5890936686 Enrollment ID: I20150727002850 |
| Provider Name | Andrew G Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396031597 PECOS PAC ID: 9234446972 Enrollment ID: I20150914001430 |
| Provider Name | Joseph Francis Siebenaler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558682096 PECOS PAC ID: 5395058713 Enrollment ID: I20190508001774 |
| Provider Name | Howard P Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659799435 PECOS PAC ID: 9335484906 Enrollment ID: I20190605000668 |
| Provider Name | Joseph D Raab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548688591 PECOS PAC ID: 9739463860 Enrollment ID: I20200206001084 |
| Provider Name | Jacob E Vohs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730543331 PECOS PAC ID: 8921390642 Enrollment ID: I20200720000622 |
| Provider Name | Austin J Lohse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174048250 PECOS PAC ID: 2062812852 Enrollment ID: I20210616001119 |
| Provider Name | Matthew A Mooberry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407380405 PECOS PAC ID: 7810269404 Enrollment ID: I20210618001490 |
| Provider Name | Alvin M Tsang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306378393 PECOS PAC ID: 8820361835 Enrollment ID: I20210630000936 |
| Provider Name | Robert Joseph Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215399878 PECOS PAC ID: 0547557464 Enrollment ID: I20220510001256 |
| Provider Name | Cody Grotts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811551922 PECOS PAC ID: 0244566032 Enrollment ID: I20230808002894 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |