Organization Active NPI

Innovative Care Elements LLC

  • Family Medicine Physician
  • Salem, IL
National Provider Identifier
1285010272
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVATIVE CARE ELEMENTS LLC
Practice address
1325 W Whittaker St
Suite 3
Salem, IL 62881-2007
Phone
(618) 548-2400
NPI assigned
Aug 3, 2015
Organization subpart
Yes
Parent organization
INNOVATIVE CARE ELEMENTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Steven N Scott, M.D.
Title
Operations Director
Phone
(618) 842-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1325 W Whittaker St
Suite 3
Salem, IL 62881-2007

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other names 1

  • Innovative Care Express Series 1 Doing business as

National Provider Directory

National Provider Directory

Locations

1325 W Whittaker St
Ste 3
Salem, IL 62881
Phone (618) 548-2400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1285010272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-548-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE ELEMENTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE CARE ELEMENTS, LLC",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "618-842-2491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Care Express Series 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.