Steven J. Disanti D.O. S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STEVEN J. DISANTI D.O. S.C.

Doing business as

D/B/A Genoa Medical Clinic

Practice address

109 S Genoa St
Genoa, IL 60135-1120

Phone

(815) 784-5188

Fax

(815) 784-5189

NPI assigned

Jul 24, 2006

Last updated

Dec 10, 2007By 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. Steven J Disanti, D.O.NPI 1578582474

Title

President

Phone

(815) 784-5188

Specialties & licenses 2

Addresses

Other names 1

• D/B/A Genoa Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Steven J Disanti, DO

  • General Practice Physician
  • Genoa, IL
  • NPI 1578582474
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1013939602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S GENOA ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351120",
            "telephone_number": "815-784-5188",
            "fax_number": "815-784-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S GENOA ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351120",
            "telephone_number": "815-784-5188",
            "fax_number": "815-784-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. DISANTI D.O. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "DISANTI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-784-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Genoa Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherie Anne Perdue, D.D.S.
• Jean Michelle Reiss, DT
• Nan Elaine Ryan
• Shree Verai Aa Medventure Inc (Genoa Family Pharmacy)
• Bethany L Skowronski
• Jorge Mauricio Trejo, PTA
• Karen Sue Trost
• Christine L. Valentine, APRN, CNP

• General Practice Physician in Genoa, IL
• Providers in Genoa, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.