Granite City Physicians Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRANITE CITY PHYSICIANS CORP

Doing business as

Heartland Healthcare

Practice address

2044 Madison Ave
Suite 15
Granite City, IL 62040-4641

Phone

(618) 798-8652

Fax

(618) 798-8116

NPI assigned

May 20, 2006

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura J Fey

Title

Sr. Director Physician Rev Cycle

Phone

(615) 221-3641

Specialties & licenses 1

Addresses

Other names 1

• HEARTLAND HEALTHCARE Doing business as

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.

• Jessica Morgan, APN

  • Nurse Practitioner
  • Scott AFB, IL
  • NPI 1134190432
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1073567483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "152-221-1400",
            "fax_number": "618-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 MADISON AVE",
            "address_2": "SUITE 15",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404641",
            "telephone_number": "618-798-8652",
            "fax_number": "618-798-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY PHYSICIANS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEARTLAND HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granite City Illinois Hospital Company LLC (Gateway Regional Medical Center)
• Granite City Illinois Hospital Company LLC (Gateway Regional Medical Center)
• Granite City Illinois Hospital Company LLC (Gateway Regional Medical Center)
• Granite City Orthopedic Physicians Company LLC
• Granite City Physical Therapy LLC
• Granite City Physicians Corp
• Granite City Psychiatry LLC
• Granite City Urgent Care Walk-in Clinic
• Granite City Vision Ctr Inc (Pearle Vision Ctr)
• Granite City Vision, Inc.

• Internal Medicine Physician in Granite City, IL
• Providers in Granite City, 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 Jul 7, 2023; 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.