Healthpointe Medical Center SC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

HEALTHPOINTE MEDICAL CENTER SC

Practice address

530 Fullerton Rd Ste B
Swansea, IL 62226-2970

Phone

(618) 233-3324

Fax

(618) 233-4758

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Peggy M Gallon, DO

Title

Designated Official

Phone

(314) 495-6037

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Collins, MD

  • Anesthesiology Physician
  • Maryville, IL
  • NPI 1770654089
  Medicare reassignment NPD
• Dan Khampraseut, D.C.

  • Chiropractor
  • Swansea, IL
  • NPI 1881620102
  Medicare reassignment NPD
• Jihan Wray Clay, P.A.-C

  • Medical Physician Assistant
  • Saint Louis, MO
  • NPI 1366730251

  IL

  Medicare reassignment

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1033699467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FULLERTON RD STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FULLERTON RD STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262970",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINTE MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "GALLON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DESIGNATED OFFICIAL",
        "authorized_official_telephone_number": "314-495-6037",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1033699467",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgallon@healthpointemedical.com",
            "affiliation": "N",
            "endpointDescription": "credentialing contact",
            "address_1": "1304 W Delmar Ave",
            "city": "Godfrey",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620351705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harvey H. Breckner D.M.D.,M.S.
• Kathleen M Harvey
• Lauren Lyvers Haukap, CPNP
• Jared Hawkins
• Healing Centered Counseling LLC
• Hearing Professionals of America LLC
• Heartland Women'S Healthcare LTD
• Heavenly Minded Counseling Services LLC
• Abigail Madison Heitzig, LSW
• Megan Helldoerfer

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.