Valley Pathology, S.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036117681 Issued in IL

Legal business name

VALLEY PATHOLOGY, S.C.

Practice address

600 E 1St St
St Margaret's Hospital
Spring Valley, IL 61362-1512

Phone

(815) 664-1470

Fax

(314) 849-6395

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By 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

Dr. Eric E Santos, M.D.NPI 1902010903

Title

Pathologist

Phone

(815) 664-1470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ruben E Santos, MD, SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1114110780

  O20070926000767

  Same enrollment

Practitioners 6

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.

• Eric Eugene Santos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Valley, IL
  • NPI 1902010903
  Medicare reassignment Authorized official
• Mario E Cote, M.D.

  • Internal Medicine Physician
  • Spring Valley, IL
  • NPI 1376514273
  NPD
• Robert D Crawford, MD

  • Interventional Cardiology Physician
  • Peoria, IL
  • NPI 1336179449
  NPD
• Mark Allen Fernandez, M.D.

  • Internal Medicine Physician
  • Peru, IL
  • NPI 1033114939
  NPD
• Brittney L Moutray, RD LDN CDE

  • Registered Dietitian
  • Forsyth, IL
  • NPI 1114234085
  NPD
• James J. Murphy, M.D.

  • Orthopaedic Surgery Physician
  • Watseka, IL
  • NPI 1336183854
  NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1194073288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809059",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809059",
            "telephone_number": "888-843-8475",
            "fax_number": "314-849-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "address_2": "ST MARGARET'S HOSPITAL",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-1470",
            "fax_number": "314-849-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PATHOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "815-664-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036117681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Reflections Counseling, PLLC
• Richard W Twanow, MD
• Lauren Elizabeth Uhlenhopp, OD
• Valley Cancer Center
• Valley Oncology Centers PC
• Paul P Velamparampil, MD
• Taylor Anne Vipond, DNP, FNP
• Craig R Whatcott, MD
• Sydney Wilson, D.C.
• Kara Wroblewski

• Anatomic Pathology & Clinical Pathology Physician in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.