John W. Rinker

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036074643 Issued in IL

Legal business name

JOHN W. RINKER

Practice address

1515 W Reynolds St
Pontiac, IL 61764-9673

Phone

(815) 842-3381

Fax

(815) 842-2054

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

John W Rinker, DONPI 1255449393

Title

Owner

Phone

(815) 842-3381

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• John Rinker, DO

  • Family Medicine Physician
  • Pontiac, IL
  • NPI 1255449393
  NPD (past) Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1093979122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649673",
            "telephone_number": "815-842-3381",
            "fax_number": "815-842-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649673",
            "telephone_number": "815-842-3381",
            "fax_number": "815-842-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. RINKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-842-3381",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036074643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074643",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5300107",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute for Human Resources of Livingston County, Il
• J a K Enterprises Inc (Bard Optical)
• J C Purnell MD SC
• Nicole M. Jack, PA-C
• Heather Ann Taylor Jackson, APRN, WHNP-BC
• Andrew D Jordan, DDS
• Kenneth N Jordan, DO
• Arianne M Kaack, PHARMD
• Katie Kennedy
• Misty Kessinger, BS

• Family Medicine Physician in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.