Organization Active NPI

Pana OB-GYN

  • Obstetrics Physician
  • Taylorville, IL
National Provider Identifier
1003932765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
PANA OB-GYN
Practice address
115 E Pleasant St
Taylorville, IL 62568-1560
Phone
(217) 287-7477
Fax
(217) 287-7511
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hwa-Long Chen III, M.D.
Title
President
Phone
(217) 287-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X IL Primary

Addresses

Primary practice location

115 E Pleasant St
Taylorville, IL 62568-1560

Mailing address

101 E 9TH St
Suite 103
Pana, IL 62557-1716
Phone (217) 562-9276

National Provider Directory

National Provider Directory

Locations

101 E 9th St
Ste 103
Pana, IL 62557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003932765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "address_2": "SUITE 103",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-9276",
            "fax_number": "217-287-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E PLEASANT ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681560",
            "telephone_number": "217-287-7477",
            "fax_number": "217-287-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANA OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HWA-LONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-287-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.