Southern Illinois Endoscopy

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036.097852 Issued in IL

Legal business name

SOUTHERN ILLINOIS ENDOSCOPY

Practice address

2810 Frank Scott Parkway
Suite 716
Belleville, IL 62223-6802

Phone

(618) 355-0880

Fax

(618) 355-0881

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vasantha Perje Pai, MD

Title

President

Phone

(618) 355-0880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1083988380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PARKWAY",
            "address_2": "SUITE 716",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622236802",
            "telephone_number": "618-355-0880",
            "fax_number": "618-355-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PARKWAY",
            "address_2": "SUITE 716",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622236802",
            "telephone_number": "618-355-0880",
            "fax_number": "618-355-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS ENDOSCOPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "VASANTHA",
        "authorized_official_middle_name": "PERJE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-355-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.097852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette K Sobczak, DNP, APRN, CPNP-PC,
• Brett Alan Sobieralski, O.D.
• Someone Special Home Care LLC
• Soothing Souls Therapeutic Services, LLC
• South Central Anesthesia LTD
• Southern Illinois Health Care Foundation, Inc.
• Southern Illinois Health Care Foundation, Inc.
• Southern Illinois Health Care Foundation, Inc.
• Southern Illinois Healthcare Foundation Inc
• Southern Illinois Healthcare Foundation Inc

• Gastroenterology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.