O'Fallon Township High School Dist 203

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

O'FALLON TOWNSHIP HIGH SCHOOL DIST 203

Practice address

600 S Smiley St
O Fallon, IL 62269-2316

Phone

(618) 632-3507

Fax

(618) 632-9730

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Russell Clover

Title

Superintendent

Phone

(618) 632-3507

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Bursich

  • Speech-Language Pathologist
  • O'Fallon, IL
  • NPI 1356772313
  NPD (past)
• Brynn Hackney, ATC, LAT

  • Athletic Trainer
  • O'Fallon, IL
  • NPI 1184114878
  NPD (past)
• Latisha Smith, ED.S.

  • School Psychologist
  • O'Fallon, IL
  • NPI 1134633993
  NPD (past)
• Shelby Kay Thiems

  • Athletic Trainer
  • O'Fallon, IL
  • NPI 1265957195
  NPD (past)
• Kaitlin Trame

  • Speech-Language Pathologist
  • O'Fallon, IL
  • NPI 1144115452
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184849952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692316",
            "telephone_number": "618-632-3507",
            "fax_number": "618-632-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692316",
            "telephone_number": "618-632-3507",
            "fax_number": "618-632-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON TOWNSHIP HIGH SCHOOL DIST 203",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-632-3507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nu-Crown, LLC (Crown Optical)
• Britni Lee Null
• O Fallon Medical Ventures LLC
• O'Fallon Healthcare Center
• O'Fallon Surgical Center, LLC (Physicians Surgical Center)
• Oa Associates, LLC
• Oa Associates, LLC
• OB GYN Care LLC
• Anna L Obannonn, RBT
• Maria Ochiai

• Local Education Agency (LEA) in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.