NPIMap

Organization Active NPI

E J Aragona MD LTD

  • Family Medicine Physician
  • Alton, IL
National Provider Identifier
1184898298
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
E J ARAGONA MD LTD
Practice address
108 Northport Dr
Alton, IL 62002-5904
Phone
(618) 466-6177
Fax
(618) 466-6388
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Eugene Joseph Aragona, M.D.
Title
Physician/Owner
Phone
(618) 466-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

108 Northport Dr
Alton, IL 62002-5904

Mailing address

108 Northport Dr
Alton, IL 62002-5904
Phone (618) 466-6177

Other identifiers 1

IdentifierTypeStateIssuer
036060194MedicaidIL

National Provider Directory

National Provider Directory

Locations

108 Northport Dr
Alton, IL 62002
Phone (618) 466-0295

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1184898298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NORTHPORT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025904",
            "telephone_number": "618-466-6177",
            "fax_number": "618-466-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTHPORT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025904",
            "telephone_number": "618-466-6177",
            "fax_number": "618-466-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E J ARAGONA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "ARAGONA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "618-466-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060194",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.