St Johns Hospital of the Hospital Sisters of the Third Order of St F

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0002451 Issued in IL

Legal business name

ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Practice address

800 East Carpenter
Springfield, IL 62769-0001

Phone

(217) 544-6464

Fax

(217) 535-3989

NPI assigned

Nov 17, 2005

Organization subpart

Yes

Parent organization

ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FAs reported in NPPES

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

Authorized official

Name

Mark Duane Evard

Title

VP of Revenue Cycle

Phone

(217) 492-9651

Specialties & licenses 1

Addresses

Other names 1

• St. John's Transitional Care Unit Other name

Electronic endpoints 1

Part of

Paririe Cardiovascular

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1083696835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "217-544-6464",
            "fax_number": "217-535-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST CARPENTER",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-544-6464",
            "fax_number": "217-535-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "EVARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "217-492-9651"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_john_springfield_toc2202618@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627691000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. John's Transitional Care Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. John's Transitional Care Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rajagopal V Sreedhar, MD
• Kimberly Sriner, LCPC
• Rajesh Srinivasan, MD
• Erin K Srinivasaraghavan, APRN
• Tomasz P. Srokowski, M.D.
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F (HSHS St. John's Hospital)
• St Johns Hospital of the Hospital Sisters of the Third Order of St F
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

• Skilled Nursing Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.