NPIMap

Organization Active NPI

Pana Community Hospital Association

Doing business as Pana Medical Group

  • General Practice Physician
  • Pana, IL
National Provider Identifier
1013086982
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PANA COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Pana Medical Group
Practice address
217 S Locust St
Pana, IL 62557-9998
Phone
(217) 562-2143
Fax
(217) 562-2251
NPI assigned
Nov 7, 2006
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Katrina Casner, CEO
Title
President/Ceo
Phone
(217) 562-2131

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

217 S Locust St
Pana, IL 62557-9998

Mailing address

217 S Locust St
Pana, IL 62557-9998
Phone (217) 562-2143

Other names 1

  • Pana Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

217 S Locust St
Pana, IL 62557
Phone (217) 562-2143

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a264d319-abe3-49cd-84c9-cb6403a03aa6/

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1013086982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625579998",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625579998",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANA COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "CASNER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-562-2131",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pana Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.