Active NPI
Michael J Hourigan, CRNA
- Registered Nurse
- Salem, IL
National Provider Identifier
1184686115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-134876
- Practice address
- 1201 Ricker Rd
Salem, IL 62881-4263 - Phone
- (618) 548-3194
- Fax
- (618) 548-1944
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-134876 | IL | Primary |
Addresses
Primary practice location
1201 Ricker Rd
Salem, IL 62881-4263
Mailing address
4621 CJ Heck Rd
Salem, IL 62881-3727
Phone (618) 548-3031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-000257 | Other | IL | ADVANCED PRACTICE NURSE |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-134876 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1184686115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 CJ HECK RD",
"city": "SALEM",
"state": "IL",
"postal_code": "628813727",
"telephone_number": "618-548-3031",
"fax_number": "618-548-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RICKER RD",
"city": "SALEM",
"state": "IL",
"postal_code": "628814263",
"telephone_number": "618-548-3194",
"fax_number": "618-548-1944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOURIGAN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-134876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NURSE",
"identifier": "209-000257",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.