Unknown Individual – Surgery Physician, NPI 1124010426
Surgery Physician
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Provider Addresses for Unknown Individual
PO BOX 1105
INDIANAPOLIS, IN 462061105
Phone: (618) 549-5361
Fax: (618) 639-0678
Type: Mailing
Saint Joseph Memorial Hospital, 2, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States
MURPHYSBORO, IL 629663333
Phone: (618) 684-1035
Fax: (618) 684-1036
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IL | 11042 | Removal of skin and tissue first 20 sq cm or less | 372 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Diagnostic Radiology | PA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| - | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Mental Health Counselor | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL |
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