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PHYSICIANS GROUP ASSOCIATES S C NPI 1689606246


NPI Information

NPI: 1689606246
Provider Name: PHYSICIANS GROUP ASSOCIATES S C
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2901 OLD JACKSONVILLE ROAD
(LOCALITY 12)
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-9722
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PHYSICIANS GROUP ASSOCIATES S C is an internal medicine in Springfield, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PHYSICIANS GROUP ASSOCIATES S C NPI is 1689606246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 OLD JACKSONVILLE ROAD
(LOCALITY 12)
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-9722
Fax: (217) 391-0392

The provider's authorized official is James Lafata .
The authorized official title is President and has the following contact phone number (217) 698-9722.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 9/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
52085R0202XRadiologyDiagnostic RadiologyNo
6208600000XSurgeryNo
7207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16394POTHERILLINOISCATERPILLAR
2020057300OTHERILLINOISBLACK LUNG
308421024OTHERILLINOISBLUE CROSS BLUE SHIELD
4133586700OTHERILLINOISACS-OWCP
5CD7143OTHERILLINOISRR MEDICARE GRP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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