Healthcare Physicians of Southern Illinois, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036095025 Issued in IL

Legal business name

HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC

Practice address

4600 Memorial Dr
Suite 100
Belleville, IL 62226-5366

Phone

(618) 222-9999

Fax

(618) 222-9337

NPI assigned

Jul 15, 2006

Last updated

May 2, 2008By 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

James V Vest, MDNPI 1013913870

Title

President

Phone

(618) 222-9999

Specialties & licenses 15

Addresses

Other identifiers 1

Locations

Practitioners 50

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.

• James V Vest, MD

  • Pulmonary Disease Physician
  • Osage Beach, MO
  • NPI 1013913870
  NPD (past) Authorized official
• Kashif Shahzad Bhutto, MD

  • Pulmonary Disease Physician
  • Belleville, IL
  • NPI 1083791651

  Internal Medicine

  NPD (past)
• Mark A Deemer, ATH TR

  • Athletic Trainer
  • Belleville, IL
  • NPI 1437148723
  NPD (past)
• Behfar Dianati, M.D.

  • Hospitalist Physician
  • Belleville, IL
  • NPI 1558580852

  Internal Medicine

  NPD (past)
• Douglas Dothager, MD

  • Pulmonary Disease Physician
  • Belleville, IL
  • NPI 1871599738
  NPD (past)
• Kathleen K Fournier, MD

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1023088903

  Family Medicine

  NPD (past)
• Ann Hagedorn, MD

  • Internal Medicine Physician
  • Greenville, IL
  • NPI 1245237825
  NPD (past)
• Matthew Dean Hageman, MD

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1376540930
  NPD (past)
• Timothy Hipskind

  • Internal Medicine Physician
  • Granite City, IL
  • NPI 1265439640
  NPD (past)
• Mary Hollenkamp, APN

  • Family Nurse Practitioner
  • Millstadt, IL
  • NPI 1649241951
  NPD (past)
• Abdulsalam Jamous, MD

  • Pulmonary Disease Physician
  • Belleville, IL
  • NPI 1891778221
  NPD (past)
• Susan Keller, APN,

  • Nurse Practitioner
  • Belleville, IL
  • NPI 1598736514
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1023034618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24007",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622239007",
            "telephone_number": "618-222-9999",
            "fax_number": "618-222-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR",
            "address_2": "SUITE 100",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265366",
            "telephone_number": "618-222-9999",
            "fax_number": "618-222-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-222-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095025",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036096642",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036096627",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087648",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092347",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093757",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106952",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113541",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114966",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036053136",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036091795",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036114207",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IL",
            "license": "036114259",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS ID#",
            "identifier": "08221043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Resource Center (Healing Hands Resource Center Belleville)
• Health Ventures of Southern Illinois Inc (Tri Lab LLC)
• Health Ventures of Southern Illinois LLC (Tri-Lab LLC)
• Health Ventures of Southern Illinois LLC (Tri Lab LLC)
• Health Ventures of Southern Illonois LLC (Tri-Lab LLC)
• Healthline Homecare Agency of Il LLC
• Healthworks
• Healthy Healing Care Services
• Heart 2 Heart Hospice LLC
• Heart of Transportation

• Family Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.