NPIMap

Organization Active NPI

Finn R. Amble, M.D. F.a.C.S., S.C

  • Otolaryngology Physician
  • Bloomington, IL
National Provider Identifier
1194163139
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036090897 Issued in IL
Legal business name
FINN R. AMBLE, M.D. F.A.C.S., S.C
Practice address
1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534
Phone
(309) 662-2278
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Dr. Aaron James Rossi, M.D.
Title
Practice Administrator
Phone
(309) 662-2278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036090897 IL Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 036090897 IL

Addresses

Primary practice location

1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534

Mailing address

1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534
Phone (309) 662-2278

National Provider Directory

National Provider Directory

Locations

1505 Eastland Dr
Ste 220
Bloomington, IL 61701
Phone (309) 585-0370

808 S Eldorado Rd
Ste 2W
Bloomington, IL 61704
Phone (309) 661-0232

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1194163139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE 220",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-662-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE 220",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-662-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINN R. AMBLE, M.D. F.A.C.S., S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "309-662-2278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036090897",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "IL",
            "license": "036090897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.