NPIMap

Organization Active NPI

Adventist Health Partners, Inc

Doing business as Plainfield Multispecialty Care

  • Gastroenterology Physician
  • Plainfield, IL
National Provider Identifier
1083966378
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ADVENTIST HEALTH PARTNERS, INC
Doing business as
Plainfield Multispecialty Care
Practice address
15724 S Route 59
Suite 102
Plainfield, IL 60544-2795
Phone
(630) 312-3330
Fax
(815) 267-7644
NPI assigned
Oct 10, 2012
Last updated
Jun 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
Mrs. Ruby Mann
Title
Director
Phone
(630) 856-6884

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X
Clinical Cardiac Electrophysiology Physician 207RC0001X
Gastroenterology Physician 207RG0100X Primary
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Surgery Physician 208600000X

Addresses

Primary practice location

15724 S Route 59
Suite 102
Plainfield, IL 60544-2795

Mailing address

15724 S Route 59
Suite 102
Plainfield, IL 60544-2795
Phone (630) 312-3330

Other names 1

  • Plainfield Multispecialty Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarendon Hills Family12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1083966378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15724 S ROUTE 59",
            "address_2": "SUITE 102",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442795",
            "telephone_number": "630-312-3330",
            "fax_number": "815-267-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15724 S ROUTE 59",
            "address_2": "SUITE 102",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442795",
            "telephone_number": "630-312-3330",
            "fax_number": "815-267-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-856-6884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plainfield Multispecialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.