Organization Active NPI

Hunter Reach Family Medicine, LLC

  • Family Medicine Physician
  • Anna, IL
National Provider Identifier
1073835013
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036099509 Issued in IL
Legal business name
HUNTER REACH FAMILY MEDICINE, LLC
Practice address
98 Peach Ridge Road
Anna, IL 62906
Phone
(618) 614-1400
Fax
(618) 614-1401
NPI assigned
Feb 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Pamela Hunter-Reach, MD
Title
Owner
Phone
(618) 614-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036099509 IL Primary

Addresses

Primary practice location

98 Peach Ridge Road
Anna, IL 62906

Mailing address

98 Peach Ridge Road
Anna, IL 62906
Phone (618) 614-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1073835013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 PEACH RIDGE ROAD",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "62906",
            "telephone_number": "618-614-1400",
            "fax_number": "618-614-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PEACH RIDGE ROAD",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "62906",
            "telephone_number": "618-614-1400",
            "fax_number": "618-614-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER REACH FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "HUNTER-REACH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-614-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036099509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.