Memorial Hospital of Carbondale

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

MEMORIAL HOSPITAL OF CARBONDALE

Practice address

515 E. Vienna Suite 1
Anna, IL 62906

Phone

(618) 833-1506

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Kathryn A Whiteside, OTR/LNPI 1518021989

Title

Occupational Therapist

Phone

(618) 833-1506

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kathryn Whiteside, OTR

  • Occupational Therapist
  • Anna, IL
  • NPI 1518021989
  NPD (past) Authorized official
• Carla Andrea A Abordo, PT

  • Physical Therapist
  • Anna, IL
  • NPI 1306934815
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063448827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CASPER CHURCH ROAD",
            "city": "COBDEN",
            "state": "IL",
            "postal_code": "62920",
            "telephone_number": "618-833-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E. VIENNA SUITE 1",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "62906",
            "telephone_number": "618-833-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF CARBONDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "618-833-1506",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Eye Centers LTD.
• Dawn McCabe, LPN
• Marcy McFadden
• Cristen Mae McKibben, FNP-C
• Sarah McLaughlin, BA
• Merriman Optometry, LTD
• Celisha Ann Merriman, O.D
• Ginger Lee Meyer, LCSW
• Amy M Miller, BA, SSP, NCSP
• Josiah Miller, RN

• General Acute Care Hospital in Anna, IL
• Providers in Anna, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.