Active NPI
David King Aymond, MD
- Ophthalmology Physician
- Schaumburg, IL
National Provider Identifier
1275607939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 23917
- Practice address
- 999 N Plaza Dr
Suite 100
Schaumburg, IL 60173-6022 - Phone
- (847) 413-2110
- Fax
- (847) 413-2114
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 23917 | WI | Primary |
| Ophthalmology Physician | 207W00000X | 036-112859 | IL |
Addresses
Primary practice location
999 N Plaza Dr
Suite 100
Schaumburg, IL 60173-6022
Mailing address
120 Martin Dr
Suite 105
Fredonia, WI 53021-9455
Phone (920) 208-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30390500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-112859 | IL | MD | Ophthalmology Physician |
| 23917 | WI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1275607939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MARTIN DR",
"address_2": "SUITE 105",
"city": "FREDONIA",
"state": "WI",
"postal_code": "530219455",
"telephone_number": "920-208-7700",
"fax_number": "920-208-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N PLAZA DR",
"address_2": "SUITE 100",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601736022",
"telephone_number": "847-413-2110",
"fax_number": "847-413-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYMOND",
"first_name": "DAVID",
"middle_name": "KING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "23917",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-112859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30390500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.