NPIMap

Organization Active NPI

Osbec Medical of Southern Illinois, LLC

  • Internal Medicine Physician
  • Highland, IL
National Provider Identifier
1063454312
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OSBEC MEDICAL OF SOUTHERN ILLINOIS, LLC
Practice address
2504 Commerce
Highland, IL 62249-0017
Phone
(618) 651-8333
Fax
(618) 651-8444
NPI assigned
Jun 12, 2006
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. Oscar F Florendo Jr., M.D.NPI 1174565568
Title
Owner
Phone
(618) 651-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2504 Commerce
Highland, IL 62249-0017

Mailing address

2504 Commerce
Highland, IL 62249-0017
Phone (618) 651-8333

Other identifiers 1

IdentifierTypeStateIssuer
036096955MedicaidIL

National Provider Directory

National Provider Directory

Locations

180 Woodcrest Dr
Highland, IL 62249
Phone (618) 651-2810

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1063454312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 COMMERCE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622490017",
            "telephone_number": "618-651-8333",
            "fax_number": "618-651-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 COMMERCE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622490017",
            "telephone_number": "618-651-8333",
            "fax_number": "618-651-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBEC MEDICAL OF SOUTHERN ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "FLORENDO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-651-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.