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MR. JASON D CHURCHILL PA
NPI 1265592455
Physician Assistant - Medical in Eldorado, IL

Active since December 11, 2006
1306 MAPLE ST, ELDORADO, IL 62930(618) 273-3361(618) 273-2504 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Jason D Churchill Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON D CHURCHILL PA (NPI 1265592455) is an individual medical provider in Eldorado, Illinois, licensed in Illinois (085-002808) and active in the NPI registry since December 2006. He maintains a secondary practice location in Herrin.

NPPES Registry Identity

NPI1265592455
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JASON D CHURCHILLCredential: PA
Location Address1306 MAPLE STEldorado, IL 62930-1662
Mailing Address510 Lincoln DrHerrin, IL 62948-6334 · (618) 997-4310 · Fax (618) 998-9635
Phone(618) 273-3361
Fax(618) 273-2504
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 14, 2019
✔ NPI 1265592455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in IL · 085-002808✔ Licensed in MO · 2006030653
1306 MAPLE ST, Eldorado, IL 62930
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Secondary Practice Location 1

Location 1510 Lincoln DrHerrin, IL 62948-6334 · Phone (618) 997-4310 · Fax (618) 998-9635

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DELLENIA DALE HAZEL LPN
Licensed Practical Nurse
1306 MAPLE ST, DOCTORS CLINIC
ELDORADO, IL 62930
Saline County (618) 273-2360
CASEY L CARLILE FNP
Nurse Practitioner (Family)
1306 MAPLE ST
ELDORADO, IL 62930
Saline County (618) 273-3361
CAITLYN E GENET FNP
Nurse Practitioner (Family)
1306 MAPLE ST
ELDORADO, IL 62930
Saline County (618) 273-9665
MEGHAN A MITCHELL FNP
Nurse Practitioner (Family)
1306 MAPLE ST
ELDORADO, IL 62930
Saline County (618) 273-3361
FERRELL HOSPITAL COMMUNITY FOUNDATION
Clinic/Center (Rural Health)
1306 MAPLE ST
ELDORADO, IL 62930
Saline County (618) 297-9665
MISS KATHY S MOSSMAN LPN
Licensed Practical Nurse
1306 MAPLE ST, DOCTORS CLINIC
ELDORADO, IL 62930
Saline County (618) 273-2360
MRS. SHARON KAY DOBREY LPN
Licensed Practical Nurse
1306 MAPLE ST, DOCTORS CLINIC
ELDORADO, IL 62930
Saline County (618) 273-2360
SAMANTHA MOSBY D.O.
Family Medicine
1306 MAPLE ST
ELDORADO, IL 62930
Saline County (618) 273-3361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Churchill's NPI number?

The NPI number for Jason Churchill is 1265592455. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jason Churchill located?

Jason Churchill practices at 1306 Maple St, Eldorado, IL 62930. The listed phone number is (618) 273-3361.

What is Jason Churchill's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jason Churchill was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.