St Joseph Medical Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ST JOSEPH MEDICAL CENTER

Doing business as

Cancer Care Associates

Practice address

407 E Vernon Ave
Normal, IL 61761-3813

Phone

(309) 451-2231

NPI assigned

May 18, 2009

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OSF HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Robert C Sehring

Title

Ceo

Phone

(309) 665-2850

Specialties & licenses 1

Addresses

Other names 1

• CANCER CARE ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806

  O20040129001106

  Same enrollment
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • Emergency Medicine Physician
  • Bloomington, IL
  • NPI 1659552859

  O20040129001106

  Same enrollment
• St Joseph Medical Center

  dba OSFMG - Bloomington

  • Family Medicine Physician
  • Bloomington, IL
  • NPI 1871547414

  O20040129001106

  Same enrollment
• St Joseph Medical Center

  dba HeartCare Midwest

  • Interventional Cardiology Physician
  • Bloomington, IL
  • NPI 1881782878

  O20040129001106

  Same enrollment

Part of

Osf Healthcare System

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1174758346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E VERNON AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613813",
            "telephone_number": "309-451-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-03-14",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-665-2850"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANCER CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Sobery, R. PH.
• Dorene Solava, PT
• Jill Ellyn Sparrow, DT
• Stephanie Sprague, ST
• Pramern Sriratana, M.D.
• Sydney Stacy
• Michelle Dee Staley, M.A., LCPC
• Justin M. Stanek, MS, ATC
• Spencer Stanesa, AUD
• Mary Elizabeth Starnes, CRNA

• Radiation Oncology Physician in Normal, IL
• Providers in Normal, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.