Active NPI
Jon Richmond Gieseking
- Ambulance
- Altamont, IL
National Provider Identifier
1114196375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 510601
- Practice address
- 208 N 2ND St
Altamont, IL 62411-1402 - Phone
- (618) 483-6821
- NPI assigned
- Feb 21, 2008
- Last updated
- Sep 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 510601 | IL | Primary |
Addresses
Primary practice location
208 N 2ND St
Altamont, IL 62411-1402
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510601 | IL | MD | Ambulance |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gieseking Funeral Home & Ambulance Service
- Land Ambulance
- Altamont, IL
- NPI 1164621694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1114196375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900457",
"telephone_number": "847-577-8811",
"fax_number": "847-577-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N 2ND ST",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111402",
"telephone_number": "618-483-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIESEKING",
"first_name": "JON",
"middle_name": "RICHMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "510601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamont, IL
- Lisa Endebrock, RN
- Melissa Dawn Evans, RN
- Kory M Flood, APRN
- Heather Lynn Forys, APN
- Robert W Frost, MD
- Herboth Developmental Therapy
- Shelly Rae Herboth
- Mindy Hoedebecke, MOTR/L, CLT
- HSHS Prairie, Inc (HSHS Medical Group Family Medicine - Altamont)
- Jon Richmond Gieseking (Gieseking Funeral Home & Ambulance Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.