| Springfield Clinic Llp | |
|
1025 S 6th St Springfield IL 62703-2403 | |
| (217) 528-7541 | |
| (217) 528-8962 |
| Full Name | Springfield Clinic Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 S 6th St, Springfield, Illinois |
| Authorized Official Name and Position | Cal Thomas (CHIEF DEVELOPMENT OFFICER) |
| Authorized Official Contact | 2175287541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Llp 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 | Springfield Clinic Llp 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 |
| NPI Number | 1215974415 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 12/24/2023 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20031208000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Diane C Hillard Sembell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972600294 PECOS PAC ID: 0345211009 Enrollment ID: I20040804001843 |
| Provider Name | Sami Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801830534 PECOS PAC ID: 0042276669 Enrollment ID: I20041207000100 |
| Provider Name | Cecile E Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750493540 PECOS PAC ID: 5092770586 Enrollment ID: I20050609000557 |
| Provider Name | Orlando J Icaza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669579991 PECOS PAC ID: 6103846613 Enrollment ID: I20051221000202 |
| Provider Name | Mark D Greatting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457459570 PECOS PAC ID: 3577469972 Enrollment ID: I20060106000093 |
| Provider Name | Philip Garcia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831295815 PECOS PAC ID: 1658277066 Enrollment ID: I20060109000611 |
| Provider Name | Cassandra Claman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356380281 PECOS PAC ID: 3375562564 Enrollment ID: I20060110000295 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811097595 PECOS PAC ID: 3072536366 Enrollment ID: I20060112000810 |
| Provider Name | Douglas M Byers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891805099 PECOS PAC ID: 1850310046 Enrollment ID: I20060124000161 |
| Provider Name | William D Payne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740282847 PECOS PAC ID: 0446291686 Enrollment ID: I20060821000367 |
| Provider Name | Leonard Giannone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245297571 PECOS PAC ID: 2365452984 Enrollment ID: I20070703000479 |
| Provider Name | Richard T Eden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477589992 PECOS PAC ID: 0042314312 Enrollment ID: I20070813000659 |
| Provider Name | Sudhir S Sekhon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598763955 PECOS PAC ID: 3577590181 Enrollment ID: I20070914000462 |
| Provider Name | Elizabeth E Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881650570 PECOS PAC ID: 3072518570 Enrollment ID: I20080913000135 |
| Provider Name | Nicolas A Forero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740264365 PECOS PAC ID: 0648189498 Enrollment ID: I20090414000669 |
| Provider Name | Stephanie K Chabez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386877504 PECOS PAC ID: 1759428477 Enrollment ID: I20091028000419 |
| Provider Name | Lanny S Odin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457309130 PECOS PAC ID: 9638293459 Enrollment ID: I20100901000055 |
| Provider Name | Angela Younker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891008140 PECOS PAC ID: 4789865718 Enrollment ID: I20110224000346 |
| Provider Name | Matthew P Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912123134 PECOS PAC ID: 9739374679 Enrollment ID: I20110902000593 |
| Provider Name | Paul E Pacheco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689872905 PECOS PAC ID: 0345496162 Enrollment ID: I20120810000403 |
| Provider Name | Joel H Wietfeldt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497977888 PECOS PAC ID: 6305092735 Enrollment ID: I20120817000161 |
| Provider Name | Benjamin W Cady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487899662 PECOS PAC ID: 7113190356 Enrollment ID: I20121026000027 |
| Provider Name | Ryan D Farris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790124709 PECOS PAC ID: 5698917508 Enrollment ID: I20130806000186 |
| Provider Name | Mirjam J. Naughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158238 PECOS PAC ID: 5395733687 Enrollment ID: I20131008000430 |
| Provider Name | Bhavani Adusumilli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568792604 PECOS PAC ID: 9234352220 Enrollment ID: I20140520001352 |
| Provider Name | Jenna R. Pelc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730508300 PECOS PAC ID: 0042433922 Enrollment ID: I20140521002319 |
| Provider Name | Coral Jeanne Armour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083020903 PECOS PAC ID: 2365668167 Enrollment ID: I20140731001967 |
| Provider Name | Jessica B Moja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407069073 PECOS PAC ID: 4688892953 Enrollment ID: I20140828000281 |
| Provider Name | Sarah E. White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275926545 PECOS PAC ID: 8022335082 Enrollment ID: I20150331002836 |
| Provider Name | Corey L Lipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643341 PECOS PAC ID: 4789902438 Enrollment ID: I20150409001792 |
| Provider Name | Richa Pandey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922312834 PECOS PAC ID: 2062640006 Enrollment ID: I20150911000802 |
| Provider Name | Elizabeth Kay Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396117867 PECOS PAC ID: 7517277502 Enrollment ID: I20151103001753 |
| Provider Name | Preet Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881859833 PECOS PAC ID: 1254501455 Enrollment ID: I20160620001862 |
| Provider Name | Rabia Asghar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033498266 PECOS PAC ID: 8921399023 Enrollment ID: I20160621001162 |
| Provider Name | Joshua D Billington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346689114 PECOS PAC ID: 1355576463 Enrollment ID: I20160622001123 |
| Provider Name | Dawn Patrice Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417300278 PECOS PAC ID: 4183917149 Enrollment ID: I20160728000458 |
| Provider Name | Swarna Rai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710266655 PECOS PAC ID: 7012133580 Enrollment ID: I20160826000008 |
| Provider Name | Mallory Waltrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780125278 PECOS PAC ID: 0042596116 Enrollment ID: I20170404002844 |
| Provider Name | Lindsey M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174930754 PECOS PAC ID: 6901175579 Enrollment ID: I20170713001530 |
| Provider Name | Emily Suzzanne Prater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316467426 PECOS PAC ID: 4789955469 Enrollment ID: I20170731001809 |
| Provider Name | Sunil Kumar Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710204334 PECOS PAC ID: 8527313634 Enrollment ID: I20180613002190 |
| Provider Name | Bhuvnesh Aggarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760770101 PECOS PAC ID: 8426303884 Enrollment ID: I20180626002829 |
| Provider Name | Chad Ryan Gonczy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487965356 PECOS PAC ID: 7911148200 Enrollment ID: I20180828000380 |
| Provider Name | Archana Nayani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548524770 PECOS PAC ID: 1052548526 Enrollment ID: I20180828003673 |
| Provider Name | Ashley N Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977627 PECOS PAC ID: 5698017143 Enrollment ID: I20190502000606 |
| Provider Name | Muhammad F Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114176708 PECOS PAC ID: 0547385262 Enrollment ID: I20190516000772 |
| Provider Name | Nileshkumar J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730425893 PECOS PAC ID: 1850653809 Enrollment ID: I20190603001232 |
| Provider Name | Maryna Popp |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326486515 PECOS PAC ID: 9335436583 Enrollment ID: I20200609002886 |
| Provider Name | Maureen Brianne O'marro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396195988 PECOS PAC ID: 2860784055 Enrollment ID: I20200701001135 |
| Provider Name | Aileen W Zhen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174985998 PECOS PAC ID: 7810280732 Enrollment ID: I20210719001440 |
| Provider Name | Dakota Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023515921 PECOS PAC ID: 0244669943 Enrollment ID: I20210727001594 |
| Provider Name | Molly Etling Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669979456 PECOS PAC ID: 3072942754 Enrollment ID: I20210728003403 |
| Provider Name | Timothy Lenardo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598873499 PECOS PAC ID: 5092806257 Enrollment ID: I20211213002057 |
| Provider Name | Ashley D Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306590088 PECOS PAC ID: 0143615898 Enrollment ID: I20220316003325 |
| Provider Name | Ahmad Mohamad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891071007 PECOS PAC ID: 2365684107 Enrollment ID: I20220801002625 |
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 |