NPIMap

Organization Active NPI

Southern Illinois Hand Center, SC

  • Surgery of the Hand (Surgery) Physician
  • Effingham, IL
National Provider Identifier
1245442375
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
36067047 Issued in IL
Legal business name
SOUTHERN ILLINOIS HAND CENTER, SC
Practice address
901 Medical Park Drive
Suite 100
Effingham, IL 62401
Phone
(217) 347-3003
Fax
(217) 347-3005
NPI assigned
May 3, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Nash Naam, M.D.NPI 1346234754
Title
President
Phone
(217) 347-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 36067047 IL Primary

Addresses

Primary practice location

901 Medical Park Drive
Suite 100
Effingham, IL 62401

Mailing address

901 Medical Park Drive
Suite 100
Effingham, IL 62401
Phone (217) 347-3003

Other identifiers 2

IdentifierTypeStateIssuer
2500075OtherBCBS IL
DA0723OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

901 Medical Park Dr
Ste 10
Effingham, IL 62401

Practitioners & affiliated clinicians

Practitioners 6

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1245442375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HAND CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "NAAM",
        "authorized_official_first_name": "NASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-347-3003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "36067047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "2500075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.