Ottawa Regional Medical Center Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OTTAWA REGIONAL MEDICAL CENTER INC.

Practice address

1614 E Norris Dr
Ottawa, IL 61350-3681

Phone

(815) 433-1010

Fax

(815) 433-0067

NPI assigned

Nov 4, 2009

Last updated

Nov 4, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

OTTAWA REGIONAL HEALTHCARE AFFILIATES INC.As reported in NPPES

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

Authorized official

Name

Mr. Robert A Chaffin

Title

President

Phone

(815) 431-5456

Specialties & licenses 2

Addresses

Locations

Practitioners 9

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.

• Rasha William Atallah, M.D.

  • Family Medicine Physician
  • Burbank, IL
  • NPI 1750768685
  NPD (past)
• Joyce Chen, M.D.

  • Family Medicine Physician
  • Burbank, IL
  • NPI 1376705772
  NPD (past)
• Sarah B Jarman, FNP

  • Family Nurse Practitioner
  • Jacksonville, IL
  • NPI 1679105308
  NPD (past)
• Stephen Issac Johnson, MD

  • Family Medicine Physician
  • Burbank, IL
  • NPI 1912105057
  NPD (past)
• Andrea D. Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Burbank, IL
  • NPI 1861487423
  NPD (past)
• Hema Mathur, MD

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1972602845
  NPD (past)
• Virendra Mathur, MD

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1689627010
  NPD (past)
• Brady Jill Reis, M.D.

  • Obstetrics & Gynecology Physician
  • Burbank, IL
  • NPI 1710151675
  NPD (past)
• Constantina C. Tucker, D.O.

  • Family Medicine Physician
  • Schererville, IN
  • NPI 1861515447
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1063749596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-433-1010",
            "fax_number": "815-433-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-433-1010",
            "fax_number": "815-433-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA REGIONAL MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTAWA REGIONAL HEALTHCARE AFFILIATES INC.",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-431-5456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group - Ottawa)
• Ottawa Regional Hospital & Healthcare Center (OSF Saint Elizabeth Medical Center)
• Ottawa Regional Hospital & Healthcare Center (OSF Saint Elizabeth Medical Center)
• Ottawa Regional Hospital & Healthcare Center
• Ottawa Regional Hospital & Healthcare Center (Ottawa Regional Hospice)
• Ottawa TWP H S Dist 140
• Ottowa Imaging LLC
• Chanice Owens, LCPC
• Danielle Pagano, APN
• Neil Pandya, M.D.

• Internal Medicine Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.