NPIMap

Organization Active NPI

Pana Community Hosptial Association

Doing business as Nokomis Medical Group

  • Family Medicine Physician
  • Nokomis, IL
National Provider Identifier
1255460440
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PANA COMMUNITY HOSPTIAL ASSOCIATION
Doing business as
Nokomis Medical Group
Practice address
107 W State St
Nokomis, IL 62075-1499
Phone
(217) 563-8343
Fax
(217) 563-2285
NPI assigned
Mar 5, 2007
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Katrina Casner, CEO
Title
President/Ceo
Phone
(217) 562-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

107 W State St
Nokomis, IL 62075-1499

Mailing address

107 W State St
Nokomis, IL 62075-1499
Phone (217) 563-8343

Other names 1

  • NOKOMIS MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

107 W State St
Nokomis, IL 62075
Phone (217) 563-8343

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1255460440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W STATE ST",
            "city": "NOKOMIS",
            "state": "IL",
            "postal_code": "620751499",
            "telephone_number": "217-563-8343",
            "fax_number": "217-563-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W STATE ST",
            "city": "NOKOMIS",
            "state": "IL",
            "postal_code": "620751499",
            "telephone_number": "217-563-8343",
            "fax_number": "217-563-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANA COMMUNITY HOSPTIAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "CASNER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-562-2131",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOKOMIS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nokomis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.