IndividualActive
Jason Churchill, PA
NPI 1265592455 · Medical Physician Assistant · Eldorado, IL
Provider details
- NPI number
- 1265592455
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 2006030653 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1306 Maple St
Eldorado, IL 62930-1662
Phone: (618) 273-3361
Fax: (618) 273-2504
Street-level locationGet directions
Mailing address
510 Lincoln Dr
Herrin, IL 62948-6334
Additional practice locations (1)
- 510 Lincoln DrHerrin, IL 62948-6334Phone: (618) 997-4310Fax: (618) 998-9635
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2019-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.