Neurology of Southern Illinois, LTD.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY OF SOUTHERN ILLINOIS, LTD.

Practice address

3301 Logan Dr
Herrin, IL 62948-3732

Phone

(618) 993-0444

Fax

(618) 998-9302

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Marie Guyton, MDNPI 1295725752

Title

M.D.

Phone

(618) 993-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71952

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori M Guyton, M.D.

  • Neurology Physician
  • Herrin, IL
  • NPI 1295725752
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003950395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483732",
            "telephone_number": "618-993-0444",
            "fax_number": "618-998-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483732",
            "telephone_number": "618-993-0444",
            "fax_number": "618-998-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY OF SOUTHERN ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "618-993-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10008620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varathaseelan Muthulingam, MD
• Talitha R Myers, LCSW
• Taylor Anne Myers, RBT
• Abdelhameed Elsayed Abdelhameed Nawwar, MD
• Nelson F Gauto MD PC
• New Way Developers, Inc. (Chestnut Manor)
• Nova M. Griffith, PH.D., Psychological Services LLC
• John W Nugent, PAC
• Kassandra Leigh O'Bryan, RBT
• Micah Oakley, PA-C

• Neurology Physician in Herrin, IL
• Providers in Herrin, IL by specialty
• Neurology Physician in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.