Active NPI
The Ghalambor Institute LLC
- Pain Medicine (Anesthesiology) Physician
- Quincy, IL
National Provider Identifier
1083952717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036114432
- Legal business name
- THE GHALAMBOR INSTITUTE LLC
- Practice address
- 3601 E Lake Ctr
Suite 400
Quincy, IL 62305-5873 - Phone
- (217) 222-4567
- NPI assigned
- Jan 31, 2013
- Last updated
- Jan 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omid Ghalambor, MD
- Title
- Ownder
- Phone
- (217) 222-4567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036114432 | IL | Primary |
Addresses
Primary practice location
3601 E Lake Ctr
Suite 400
Quincy, IL 62305-5873
Mailing address
3601 East Lake Centre Drive
Suite 400
Quincy, IL 62305
Phone (217) 222-4567
National Provider Directory
National Provider DirectoryLocations
3601 E Lake Ctr
Ste 400
Quincy, IL 62305
Phone (217) 222-4567
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.
-
- Interventional Pain Medicine Physician
- Allen, TX
- NPI 1710008966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359590400000",
"number": "1083952717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 EAST LAKE CENTRE DRIVE",
"address_2": "SUITE 400",
"city": "QUINCY",
"state": "IL",
"postal_code": "62305",
"telephone_number": "217-222-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 E LAKE CTR",
"address_2": "SUITE 400",
"city": "QUINCY",
"state": "IL",
"postal_code": "623055873",
"telephone_number": "217-222-4567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GHALAMBOR INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A",
"authorized_official_last_name": "GHALAMBOR",
"authorized_official_first_name": "OMID",
"authorized_official_title_or_position": "OWNDER",
"authorized_official_telephone_number": "217-222-4567",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036114432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.