NPIMap

Organization Active NPI

Hospital & Medical Foundation of Paris, Inc.

Doing business as Marshall Specialty Clinic

  • Pain Medicine Physician
  • Marshall, IL
National Provider Identifier
1255919478
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.
Doing business as
Marshall Specialty Clinic
Practice address
1006 S 6TH St
Marshall, IL 62441-1829
Phone
(217) 465-4141
NPI assigned
Mar 30, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Martin Adams
Title
VP of Finance and Cfo
Phone
(217) 466-4246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1006 S 6TH St
Marshall, IL 62441-1829

Mailing address

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Other names 1

  • Marshall Specialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001005 IL Part B Supplier - Clinic/Group Practice 7315933827 Receives reassigned benefits from 210 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chrisman, IL; Tilton, IL; Paris, IL; Oakland, IL; Marshall, IL

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1255919478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S 6TH ST",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624411829",
            "telephone_number": "217-465-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "VP OF FINANCE AND CFO",
        "authorized_official_telephone_number": "217-466-4246"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.