Active NPI
Knox Clinic Corp
- Family Medicine Physician
- Galesburg, IL
National Provider Identifier
1265481006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KNOX CLINIC CORP
- Practice address
- 834 N Seminary St
Galesburg, IL 61401-2852 - Phone
- (309) 343-3316
- NPI assigned
- May 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia L. Arwood
- Title
- Director
- Phone
- (615) 628-6038
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary | |
| Internal Medicine Physician | 207R00000X | IL | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Otolaryngology Physician | 207Y00000X | 036072445 | IL | |
| Pediatrics Physician | 208000000X | IL | ||
| Neurology Physician | 2084N0400X | 036078282 | IL | |
| Psychiatry Physician | 2084P0800X | 036096365 | IL | |
| Surgery Physician | 208600000X | |||
| Audiologist | 231H00000X | 1740361484 | IL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
834 N Seminary St
Galesburg, IL 61401-2852
Mailing address
PO Box 9564
Belfast, ME 04915-9564
National Provider Directory
National Provider DirectoryLocations
834 N Seminary St
Ste 303
Galesburg, IL 61401
Phone (309) 342-9189
834 N Seminary St
Ste 404
Galesburg, IL 61401
Phone (309) 343-3444
2295 N Seminary St
Galesburg, IL 61401
Phone (309) 343-7130
834 N Seminary St
Ste 402
Galesburg, IL 61401
Phone (309) 343-2640
834 N Seminary St
Ste 201
Galesburg, IL 61401
Phone (309) 343-7130
Interoperability endpoints
- https://api.platform.athenahealth.com/2623/brand/1/csg/22/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1265481006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9564",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012852",
"telephone_number": "309-343-3316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX CLINIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "ARWOOD",
"authorized_official_first_name": "SOPHIA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-628-6038"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IL",
"license": "036072445",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036078282",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036096365",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "IL",
"license": "1740361484",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.