Ewa V. Hampston MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

336071862 Issued in IL

Legal business name

EWA V. HAMPSTON MD SC

Practice address

12130 S Harlem Ave
Suite B
Palos Heights, IL 60463-1458

Phone

(708) 448-5500

Fax

(708) 448-5501

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ewa V Hampston, M.D.NPI 1770694200

Title

Physician

Phone

(708) 448-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ewa V Hampston, M.D.

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1770694200
  Medicare reassignment NPD Authorized official
• Beata Styka, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Palos Heights, IL
  • NPI 1275623233
  NPD

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1275766511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-448-5500",
            "fax_number": "708-448-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-448-5500",
            "fax_number": "708-448-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWA V. HAMPSTON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "HAMPSTON",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-448-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336071862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carli Renee Esboldt
• Mona L Etchison, PSYD
• Eugene Mandrea, M.D., S.C.
• Annika Evenhouse
• Everkind, LLC
• Krista Ewers, APRN, CNP
• Extremity Medical Care, Inc
• Richard N Facko, DDS
• Christopher R Fagan, MD
• Amanda F Fakhouri, DPT

• Family Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.