John E Podzamsky, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036055223 Issued in IL

Practice address

200 E 6TH St
Minonk, IL 61760-1308

Phone

(309) 432-2441

Fax

(309) 432-3711

NPI assigned

Dec 7, 2005

Last updated

Sep 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment NPD
• Saint James Hospital

  dba Saint James Hospital - Multiple Hospital Departments

  • Anesthesiology Physician
  • Pontiac, IL
  • NPI 1790735421
  Medicare reassignment NPD
• Podzamsky Medical Services

  • Preferred Provider Organization
  • Streator, IL
  • NPI 1700018538
  Authorized official Same address or phone
• Saint James Hospital

  dba OSF Healthcare - Medical Group - Roanoke

  • Rural Health Clinic/Center
  • Roanoke, IL
  • NPI 1164138848
  NPD
• Saint James Hospital

  dba OSFMG - Pontiac

  • Family Medicine Physician
  • Pontiac, IL
  • NPI 1699722983
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1225013840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 6TH ST",
            "city": "MINONK",
            "state": "IL",
            "postal_code": "617601308",
            "telephone_number": "309-432-2441",
            "fax_number": "309-432-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 6TH ST",
            "city": "MINONK",
            "state": "IL",
            "postal_code": "617601308",
            "telephone_number": "309-432-2441",
            "fax_number": "309-432-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODZAMSKY",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036035223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Manor Minonk, LLC (Heritage Health - Minonk)
• Mayla M Jenkins, CPHT
• Joseph Lutterbie, PHARMD
• Amy Naas
• Darcie Omiotek, SLP
• Rebecca Bowen Reynolds, RPH
• Amy Rice
• Saint James Hospital (OSF Healthcare - Medical Group - Minonk)
• Eric Ross Saxton, PT
• Kailynne Dorinda Jean Stears, CCC-SLP

• Family Medicine Physician in Minonk, IL
• Providers in Minonk, 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 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.