Partnermd Illinois PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARTNERMD ILLINOIS PC

Practice address

2435 Dean St
Unit C
St Charles, IL 60175-4827

Phone

(804) 282-2655

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

James Mumper, MDNPI 1518919653

Title

Chief Medical Officer

Phone

(804) 282-2655

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• James David Mumper, M.D.

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1518919653
  NPD (past) Authorized official

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1275943508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE",
            "address_2": "SUITE 302",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-282-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 DEAN ST",
            "address_2": "UNIT C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754827",
            "telephone_number": "804-282-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERMD ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "MUMPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "804-282-2655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Leah Paradise-Fyock, MS
• Lucia Parducci, APRN,CNP
• Medea Nevada Parent
• Nairuti Parikh
• Carolyn Parker
• Jamil Parvez
• Joy Pascoe, LCSW
• Steve Pasin, DDS
• Amanda Nicole Passaglia
• Brenna Passarelli

• Family Medicine Physician in St Charles, IL
• Providers in St Charles, 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 May 8, 2014; 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.