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SIU PHYSICIANS & SURGEONS INC NPI 1427071646


NPI Information

NPI: 1427071646
Provider Name: SIU PHYSICIANS & SURGEONS, INC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 545-7578
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SIU PHYSICIANS & SURGEONS, INC is a medical physician assistant in Springfield, IL. SIU PHYSICIANS & SURGEONS, INC NPI is 1427071646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781-001
Phone: (217) 545-7578
Fax: (217) 545-1884

The provider's authorized official is David Tkach .
The authorized official title is Ceo and has the following contact phone number (217) 545-7578.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/21/2022.


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
1363LP0200XNurse PractitionerPediatricsILLINOISNo
2363LN0000XNurse PractitionerNeonatalILLINOISNo
3133V00000XDietitian, RegisteredILLINOISNo
4225XH1200XOccupational TherapistHandILLINOISNo
5231H00000XAudiologistILLINOISNo
6363AS0400XPhysician AssistantSurgicalILLINOISNo
7363LA2100XNurse PractitionerAcute CareILLINOISNo
8363LA2200XNurse PractitionerAdult HealthILLINOISNo
9363LF0000XNurse PractitionerFamilyILLINOISNo
10364SG0600XClinical Nurse SpecialistGerontologyILLINOISNo
11364SX0200XClinical Nurse SpecialistOncologyILLINOISNo
12367A00000XAdvanced Practice MidwifeILLINOISNo
13363AM0700XPhysician AssistantMedicalILLINOISYes

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
1CB2589OTHERILLINOISRR MEDICARE
2CE8686OTHERILLINOISRR MEDICARE
3CE8687OTHERILLINOISRR MEDICARE
4CE8688OTHERILLINOISRR MEDICARE
5CE8689OTHERILLINOISRR MEDICARE
6CE8931OTHERILLINOISRR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.