Active NPI
Hope Medical Group Granite PLLC
- Obstetrics & Gynecology Physician
- Granite City, IL
National Provider Identifier
1275361354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- HOPE MEDICAL GROUP GRANITE PLLC
- Practice address
- 1602 21St St
Granite City, IL 62040-5304 - Phone
- (618) 451-5722
- Fax
- (618) 451-9092
- NPI assigned
- Jul 22, 2024
- Last updated
- Jul 22, 2024
- 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
- Erin King, MD
- Title
- Chief Medical Officer
- Phone
- (618) 451-5722
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1602 21St St
Granite City, IL 62040-5304
Mailing address
1602 21St St
Granite City, IL 62040-5304
Phone (618) 451-5722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gynecology Physician
- Granite City, IL
- NPI 1649478678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1275361354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 21ST ST",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620405304",
"telephone_number": "618-451-5722",
"fax_number": "618-451-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 21ST ST",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620405304",
"telephone_number": "618-451-5722",
"fax_number": "618-451-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL GROUP GRANITE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "618-451-5722",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.