McDonough County Hospital District
Organization Active NPI Emergency Medicine Physician · Macomb, IL
NPI 1013048982 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013048982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MCDONOUGH COUNTY HOSPITAL DISTRICT
- Practice address
- 525 E Grant St
Macomb, IL 61455-3313 - Phone
- (309) 833-4101
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Stephen R Hopper
- Title
- President, Ceo
- Phone
- (309) 833-4101
Other NPIs on the same Medicare enrollment 3
Practitioners 82
-
Susan Adams, RN, APN
-
Aimee Anderson, QMHP
-
Jerome D Anderson, D.O.
-
Peggy Schutte Banks, D.O.
-
Lyndsay J Bedwell, FNP
-
Dwayne Bernard, MD
-
Timothy Mark Biagini, M.D.
-
James T Brown, M.D.
-
Edwin L Card, MD
-
Tuangui K Cheng, MD
-
Megan Clemens, NP-C
-
Kathryn Coker, PA-C
-
Kelly L Cox, M.D.
-
Christopher Cruz, MD
-
Kelsi D Cunningham, APN
-
Peter John Fecht, CRNA
-
Mansura Ghani, M.D.
-
John B Gill, M.D.
-
Sue Ann Gingerich, CRNA
-
Nagui Y. Hanna, M.D.
-
Jodi Heller, FNP-C
-
Angela J Holthaus, CRNA
-
James R Hubler, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040611000228 | IL | Part B Supplier - Clinic/Group Practice | 0446140180 |
Receives reassigned benefits from 56 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Macomb, IL |
National Provider Directory
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
525 E Grant St
Macomb, IL 61455-3313
Mailing address
525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005519698 | Other | IL | BLUE SHIELD GROUP # |
Other names
- McDonough District Hospital ER Physicians
Other providers in Macomb, IL
- Kassandra Mason
- Max R Rexroat, DPM, LTD
- Kelly Jay McBride
- Matthew Scott McClure
- Rachelle D McCoy
- McDonough County Hospital District
- McDonough County Hospital District
- McDonough County Hospital District
- McDonough County Hospital District
- McDonough County Hospital District
All providers in Macomb, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.