Southern Illinois OB-GYN Associates, S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTHERN ILLINOIS OB-GYN ASSOCIATES, S.C.

Practice address

500 Rushing Dr
Herrin, IL 62948-3748

Phone

(618) 998-8808

NPI assigned

Dec 18, 2006

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Hudson

Title

Office Manager

Phone

(618) 998-8808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nasrah Serwah Acheampong

  • Obstetrics & Gynecology Physician
  • Herrin, IL
  • NPI 1487231122
  Medicare reassignment Care Compare group NPD
• Kellie J Lustenberger, N.P.

  • Family Nurse Practitioner
  • Carbondale, IL
  • NPI 1295923779
  Medicare reassignment Care Compare group NPD
• Barenya Mukerji, M.D.

  • Obstetrics & Gynecology Physician
  • Carbondale, IL
  • NPI 1730594615
  Medicare reassignment Care Compare group NPD
• Dana Oberg, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Murphysboro, IL
  • NPI 1225021322
  Medicare reassignment Care Compare group NPD
• Hans Peter Roethling, MD

  • Obstetrics & Gynecology Physician
  • Herrin, IL
  • NPI 1629059704
  Medicare reassignment Care Compare group NPD
• Catherine C Schneider, M.D.

  • Obstetrics & Gynecology Physician
  • Herrin, IL
  • NPI 1518951813
  Medicare reassignment Care Compare group NPD
• Danielle Tomevi, M.D.

  • Obstetrics & Gynecology Physician
  • Herrin, IL
  • NPI 1962645937
  Medicare reassignment Care Compare group NPD
• Francis H Tsung, M.D.

  • Obstetrics & Gynecology Physician
  • Herrin, IL
  • NPI 1700870987
  Medicare reassignment Care Compare group NPD
• Jeffrey N Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Lexington, KY
  • NPI 1528052370

  IL

  Medicare reassignment NPD
• Sylvia F Garwin, M.D.

  • Gynecology Physician
  • Carbondale, IL
  • NPI 1780687574
  NPD (past)
• Barbara Sue Giffin, RN

  • Registered Nurse First Assistant
  • Carbondale, IL
  • NPI 1386914430
  NPD (past)
• Lindsay Hudson, LPN

  • Licensed Practical Nurse
  • Carbondale, IL
  • NPI 1104261999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1699838276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483748",
            "telephone_number": "618-998-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483748",
            "telephone_number": "618-998-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS OB-GYN ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-998-8808"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Hospital Services (Herrin Hospital)
• Southern Illinois Hospital Services (Herrin Hospital)
• Southern Illinois Hospital Services (Herrin Hospital)
• Southern Illinois Hospital Services (Herrin Hospital)
• Southern Illinois Medical Services, NFP (Logan Primary Care)
• Southern Illinois Orthopedic Center,LLC
• Southern Illinois Respiratory Disease Consultants, LLC
• Southern Illinois Rheumatology, SC
• Southern Orthopedic Associates SC
• Southern Rehab Specialists, LLC

• Obstetrics & Gynecology Physician in Herrin, IL
• Providers in Herrin, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.