| St. Louis Cardiology Consultants | |
|
1 Professional Dr Alton IL 62002 | |
| (618) 474-0130 | |
| Not Available |
| Full Name | St. Louis Cardiology Consultants |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Professional Dr, Alton, Illinois |
| Authorized Official Name and Position | Susan Koesterer (VICE PRESIDENT, CFO) |
| Authorized Official Contact | 3146535715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Cardiology Consultants 1 Memorial Drive Attn: Administration Alton IL 62002-6722 Ph: (618) 463-7268 | St. Louis Cardiology Consultants 1 Professional Dr Alton IL 62002 Ph: (618) 474-0130 |
| NPI Number | 1558783647 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 9436389442 |
|---|---|
| Medicare Enrollment ID | O20140312001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558783647 | NPI | - | NPPES |
| Provider Name | Erik C Stabell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868108 PECOS PAC ID: 6608779350 Enrollment ID: I20040129000845 |
| Provider Name | William R Bartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134112097 PECOS PAC ID: 7012811987 Enrollment ID: I20040717000055 |
| Provider Name | James A Kliefoth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043203250 PECOS PAC ID: 5799754925 Enrollment ID: I20040924001015 |
| Provider Name | Kristen M Stabell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689667529 PECOS PAC ID: 0042114951 Enrollment ID: I20041217000483 |
| Provider Name | Rama K Gondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396738282 PECOS PAC ID: 4789582487 Enrollment ID: I20050309000225 |
| Provider Name | Tariq L Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275525271 PECOS PAC ID: 1254387392 Enrollment ID: I20050322001081 |
| Provider Name | Ali Ziaee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184689549 PECOS PAC ID: 5193788297 Enrollment ID: I20060614000137 |
| Provider Name | Georges E Chahoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942390414 PECOS PAC ID: 4183655053 Enrollment ID: I20081125000451 |
| Provider Name | Steven P Zenker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861485708 PECOS PAC ID: 3779487657 Enrollment ID: I20100825000991 |
| Provider Name | Sam G Bishara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194949784 PECOS PAC ID: 7810930492 Enrollment ID: I20100928000357 |
| Provider Name | Kelly J Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225021165 PECOS PAC ID: 9931003829 Enrollment ID: I20101005001309 |
| Provider Name | Robert G Lutan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528051422 PECOS PAC ID: 3274531934 Enrollment ID: I20101020000532 |
| Provider Name | Lalithkumar K Chouhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124011028 PECOS PAC ID: 1850284498 Enrollment ID: I20101026001463 |
| Provider Name | Thomas R King |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639162530 PECOS PAC ID: 2668365206 Enrollment ID: I20101028001063 |
| Provider Name | Saad R Bitar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598758583 PECOS PAC ID: 4587640529 Enrollment ID: I20101108001415 |
| Provider Name | Samer Thanavaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619960606 PECOS PAC ID: 4688567225 Enrollment ID: I20101109001500 |
| Provider Name | Suresh K Narayanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720071244 PECOS PAC ID: 1355359621 Enrollment ID: I20110412000319 |
| Provider Name | Rachel E Durham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730318890 PECOS PAC ID: 3577705771 Enrollment ID: I20130819000592 |
| Provider Name | Debra L Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188288 PECOS PAC ID: 8820305907 Enrollment ID: I20161108000126 |
| Provider Name | Jared M Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023608 PECOS PAC ID: 5597042382 Enrollment ID: I20170615000201 |
| Provider Name | Theerarat Thanavaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265823074 PECOS PAC ID: 9739494923 Enrollment ID: I20180509001504 |
| Provider Name | Imaad Razzaque |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194013425 PECOS PAC ID: 1052669017 Enrollment ID: I20180927001032 |
| Provider Name | Gillian Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790345726 PECOS PAC ID: 9133450653 Enrollment ID: I20191015002525 |
| Provider Name | Wendy Devonne Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629332127 PECOS PAC ID: 6709118615 Enrollment ID: I20191025002173 |
| Provider Name | Elsayed Abo-salem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629207477 PECOS PAC ID: 7719116490 Enrollment ID: I20200211001246 |
| Provider Name | Abhay Atul Laddu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538298294 PECOS PAC ID: 5991856536 Enrollment ID: I20201026003035 |
| Provider Name | Megan E Sauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144753237 PECOS PAC ID: 7517232267 Enrollment ID: I20210723000102 |
| Provider Name | Chloe S Datillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366096703 PECOS PAC ID: 8325378185 Enrollment ID: I20220903000386 |
Family Physicians Of Alton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Regional Dr, Alton, IL 62002 Phone: 618-465-7080 Fax: 618-465-7080 | |
Alton Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Memorial Dr, Suite 220, Alton, IL 62002 Phone: 618-462-3191 | |
Cep America - Illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-2571 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 Wickenhauser Ave, Alton, IL 62002 Phone: 618-465-8887 | |
E J Aragona Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Northport Dr, Alton, IL 62002 Phone: 618-466-6177 Fax: 618-466-6388 | |
Central Alton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-4342 Fax: 618-462-5334 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 Humbert Rd, Alton, IL 62002 Phone: 618-465-2626 |