Gregory Churchill, PHYSICIAN ASSISTANT

Individual Active
NPI 1053390237
Medical Physician Assistant O Fallon, IL

NPI 1053390237 belongs to Gregory Churchill, PHYSICIAN ASSISTANT, a medical physician assistant with a practice location in O Fallon, IL. The NPI was issued on January 16, 2006, and the record was last updated in NPPES on March 25, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed
Physician Assistant 363A00000X 085002702 (IL)

Practice locations

310 N 7 Hills Rd
O Fallon, IL 62269-4111
Phone: (618) 624-6181
4500 Memorial Dr Ste 340
Belleville, IL 62226-5360
Phone: (618) 257-5841

Local context

Active NPPES records list 110 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 25 of them within 10 miles.

The same primary taxonomy is listed by 688 in Illinois and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Gregory Scott Churchill
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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