Organization Active NPI

The Ghalambor Institute LLC

  • Pain Medicine (Anesthesiology) Physician
  • Quincy, IL
National Provider Identifier
1083952717
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036114432 Issued in IL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.