Organization Active NPI

Edward M. Atkins, M.D.,S.C.

  • Anesthesiology Physician
  • Evanston, IL
National Provider Identifier
1194766352
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EDWARD M. ATKINS, M.D.,S.C.
Practice address
815 Howard St
Evanston, IL 60202-3916
Phone
(847) 869-8500
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Edward M. Atkins, M.D.
Title
President
Phone
(847) 967-1149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X IL Primary

Addresses

Primary practice location

815 Howard St
Evanston, IL 60202-3916

Mailing address

8135 N Milwaukee Ave
Niles, IL 60714-2828
Phone (847) 967-1149

Other identifiers 1

IdentifierTypeStateIssuer
31600926OtherILBLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1194766352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142828",
            "telephone_number": "847-967-1149",
            "fax_number": "847-967-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023916",
            "telephone_number": "847-869-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. ATKINS, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-967-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "31600926",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.