Pinhas Sharon MD, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036067968 Issued in IL

Legal business name

PINHAS SHARON MD, LLC

Practice address

4749 Lincoln Mall Dr
Suite 204
Matteson, IL 60443-1180

Phone

(708) 481-4200

Fax

(708) 746-5779

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Pinhas Sharon, M.D.

Title

Owner

Phone

(708) 746-5779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1194048108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604490245",
            "telephone_number": "708-746-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR",
            "address_2": "SUITE 204",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431180",
            "telephone_number": "708-481-4200",
            "fax_number": "708-746-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINHAS SHARON MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "SHARON",
        "authorized_official_first_name": "PINHAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-746-5779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036067968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Matteson, IL
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• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.