Harrisburg Family Practice LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036112962 Issued in IL

Legal business name

HARRISBURG FAMILY PRACTICE LTD

Doing business as

Sloan Medical Clinic

Practice address

7211 US Highway 45 S
Suite C
Carrier Mills, IL 62917

Phone

(618) 994-2321

Fax

(618) 994-2030

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Boatright

Title

Administrator

Phone

(618) 252-8625

Specialties & licenses 1

Addresses

Other names 1

• SLOAN MEDICAL CLINIC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew C Winkleman, MD

  • Family Medicine Physician
  • Harrisburg, IL
  • NPI 1225018153
  NPD (past)
• Michael L York, MD

  • Internal Medicine Physician
  • Harrisburg, IL
  • NPI 1730169640
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1174661870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E CLARK ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462702",
            "telephone_number": "618-252-8625",
            "fax_number": "618-252-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 US HIGHWAY 45 S",
            "address_2": "SUITE C",
            "city": "CARRIER MILLS",
            "state": "IL",
            "postal_code": "62917",
            "telephone_number": "618-994-2321",
            "fax_number": "618-994-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG FAMILY PRACTICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-252-8625"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLOAN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrier Mills Nursing & Rehabilitation Center, Inc
• Carrier Mills Nursing & Rehabilitation Center, LLC
• Carrier Mills-Stonefort Community Unit Dist 2
• Christopher Greater Area Rural Health Planning Corporation (Carrier Mills Community Health Center)
• Sarah Fogle
• Nathan Kyle Heady, PA-C
• Kelley M Mitchell X, LPN
• Jennifer Elaine Price, PA-C
• Nikki Reed, M.S. SLP-CCC
• Stacy Lynn Sumner

• Family Medicine Physician in Carrier Mills, IL
• Providers in Carrier Mills, 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 May 8, 2008; 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.