Elaine Ann Rynders, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-000556 Issued in IL

Practice address

2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569

Phone

(618) 462-2222

Fax

(618) 463-5004

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Cardiovascular Consultants LTD

  • Cardiovascular Disease Physician
  • Springfield, IL
  • NPI 1659539559
  NPD (past)
• Saint Anthony'S Physician Group

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1750497319

  Medical

  NPD (past)
• Fairview Heights Medical Group SC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1679503668
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1891766614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT ANTHONYS WAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-465-8019",
            "fax_number": "618-463-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT ANTHONYS WAY",
            "address_2": "SUITE 305",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-462-2222",
            "fax_number": "618-463-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDERS",
        "first_name": "ELAINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rounds
• Cynthia Rublaitus, LCSW
• Aline Gaston Russell, D.MIN., LCPC, LMFT
• Victoria Elizabeth Russell, M.S.
• Alexandria Ruzicka, PA-C
• Virginia Sabatini
• Sanit Saengsamran, M.D.
• Saint Anthony'S Health Center
• Saint Anthony'S Physician Group
• Saint Anthonys Health Center

• Medical Physician Assistant in Alton, IL
• Providers in Alton, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.