Fifth Ave Primary Care Physicians SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042-003468 Issued in IL

Legal business name

FIFTH AVE PRIMARY CARE PHYSICIANS SC

Practice address

2570 Foxfield Rd
Suite 100
St Charles, IL 60174-1406

Phone

(630) 584-1950

Fax

(630) 584-8994

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Catherine S Thomas, M.D.

Title

Owner

Phone

(630) 584-1950

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Henry Reeder, M.D.

  • General Practice Physician
  • St Charles, IL
  • NPI 1336138486

  Family Medicine

  NPD (past)
• Uma Subramaniam Desai, M.D.

  • Family Medicine Physician
  • Danville, CA
  • NPI 1174614218
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1215029467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 FOXFIELD RD",
            "address_2": "SUITE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741406",
            "telephone_number": "630-584-1950",
            "fax_number": "630-584-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 FOXFIELD RD",
            "address_2": "SUITE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741406",
            "telephone_number": "630-584-1950",
            "fax_number": "630-584-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVE PRIMARY CARE PHYSICIANS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-584-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042-003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Favela
• Sydney Christine Fedderly
• Anna Elizabeth Fenstermacher, OTD
• Sharon A. Feryance, MSW
• Natalie Fetzko
• Debra Rose Filippelli
• Alyssa Rene Fink, OTR/L
• Sharon Janet Finkelstein, M.S.
• Lauren Fischer, MD
• Melissa Fish, M.D.

• Family Medicine Physician in St Charles, IL
• Providers in St Charles, 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 Sep 22, 2016; 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.