Jeffrey S. Hammer, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.063661 Issued in IL

Legal business name

JEFFREY S. HAMMER, M.D., LLC

Practice address

315 N Main St
Suite 2
Edwardsville, IL 62025-1637

Phone

(618) 656-1726

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Hammer, M.D.

Title

President/Owner

Phone

(618) 656-1726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331424000000",
    "number": "1174800213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251637",
            "telephone_number": "618-307-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251637",
            "telephone_number": "618-656-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. HAMMER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-03-11",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "618-656-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.063661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.