Kims Family Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIMS FAMILY HEALTHCARE LLC

Practice address

316 E Franklin St
Du Quoin, IL 62832-2302

Phone

(618) 790-9121

Fax

(618) 790-9178

NPI assigned

Oct 26, 2015

Last updated

Mar 28, 2016By 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

Kim S Schramke, APN

Title

Owner

Phone

(573) 651-4488

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Kimberly Schramke

  • Family Nurse Practitioner
  • Pinckneyville, IL
  • NPI 1790113793
  Medicare reassignment NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1205208642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E FRANKLIN ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322302",
            "telephone_number": "618-790-9121",
            "fax_number": "618-790-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E FRANKLIN ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322302",
            "telephone_number": "618-790-9121",
            "fax_number": "618-790-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "SCHRAMKE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-651-4488",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W. Melvin DC LTD
• Chad R. Johnston, MD
• Paul Brian Juergens, M.D.
• Beth Keith-Mudgette, RPH
• Kidney Care Services of Southern Illinois, LTD
• Danielle Klump, APRN
• Alisha Kosma
• Carmen Krejci, MD
• Farrah Kremer
• Katherine Laird, NP

• Family Medicine Physician in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.