Carl E Arentzen, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

036072083 Issued in IL

Practice address

619 E Mason St
Suite 3P25
Springfield, IL 62701-1034

Phone

(217) 545-7600

Fax

(217) 545-2552

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1033190814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19684",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949684",
            "telephone_number": "217-545-7600",
            "fax_number": "217-545-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E MASON ST",
            "address_2": "SUITE 3P25",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011034",
            "telephone_number": "217-545-7600",
            "fax_number": "217-545-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENTZEN",
        "first_name": "CARL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036072083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072083",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Archer
• Ardavis & Associates, LLC
• Kinnera Are
• Nikki Arends, MS CCC SLP
• Kelly Jean Arens Whicker, MA, LCPC, BCBA
• Kelly Argo
• Santhi Bhushan Arikati, M.D
• Mischaela N Aring, NP-C
• Genan Arman
• Melissa L Armatta, RD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.