NPIMap

Organization Active NPI

HSHS Medical Group

  • Children's Hospital
  • Decatur, IL
National Provider Identifier
1265752844
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
036125483 Issued in IL
Legal business name
HSHS MEDICAL GROUP
Practice address
1900 E Lake Shore Dr Ste 330
Suite 330
Decatur, IL 62521-3848
Phone
(217) 423-2889
NPI assigned
Jun 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Richard Rolstan, M.D
Title
President &Chief Executive Officer
Phone
(217) 523-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 036125483 IL Primary

Addresses

Primary practice location

1900 E Lake Shore Dr Ste 330
Suite 330
Decatur, IL 62521-3848

Mailing address

1900 E Lake Shore Dr Ste 330
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889

National Provider Directory

National Provider Directory
Tax ID family
HSHS Medical Group18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1265752844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E LAKE SHORE DR STE 330",
            "address_2": "SUITE 330",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213848",
            "telephone_number": "217-423-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E LAKE SHORE DR STE 330",
            "address_2": "SUITE 330",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213848",
            "telephone_number": "217-423-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "ROLSTAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT &CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-523-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "IL",
            "license": "036125483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.