Penny Attaway

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

209001693 Issued in IL

Legal business name

PENNY ATTAWAY

Doing business as

Medical Services Unlimited

Practice address

1411 W Main St
Westport Plaza
Fairfield, IL 62837-2300

Phone

(618) 842-5285

Fax

(618) 842-4576

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Penny Attaway, MSN FNP

Title

Owner, FNP

Phone

(618) 842-5285

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Medical Services Unlimited Doing business as

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1184741175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W MAIN ST",
            "address_2": "WESTPORT PLAZA",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372300",
            "telephone_number": "618-842-5285",
            "fax_number": "618-842-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W MAIN ST",
            "address_2": "WESTPORT PLAZA",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372300",
            "telephone_number": "618-842-5285",
            "fax_number": "618-842-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY ATTAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "ATTAWAY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER, FNP",
        "authorized_official_telephone_number": "618-842-5285",
        "authorized_official_credential": "MSN FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "209001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9620466",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "L040233",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "385130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Services Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Sue Myers, RN
• New Hope CCSD No 6
• Myron I Oppenheimer, P.T.
• OT Playworks Inc.
• Paul B Stauder
• Irina Podolsky
• Priscilla Poore
• Joan A Potter, CRNA
• Potts Family LLC
• Edwin Ray Potts, RPH

• Rural Health Clinic/Center in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.