Provena Hospitals

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036086987 Issued in IL

Legal business name

PROVENA HOSPITALS

Doing business as

Pusmc Physician Billing

Practice address

812 N Logan Ave
Danville, IL 61832-3752

Phone

(217) 448-5000

Fax

(217) 477-2966

NPI assigned

May 27, 2010

Last updated

May 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Schimerowski

Title

Cfo

Phone

(217) 477-2737

Specialties & licenses 1

Addresses

Other names 1

• PUSMC PHYSICIAN BILLING Doing business as

Locations

Practitioners 2

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.

• Jomel S Labayog, MD

  • Hematology & Oncology Physician
  • Danville, IL
  • NPI 1326053299
  NPD (past)
• Christine Marie Cisneros, M.D.

  • Occupational Medicine Physician
  • Elkhart, IN
  • NPI 1003004524
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1295054369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323752",
            "telephone_number": "217-448-5000",
            "fax_number": "217-477-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323752",
            "telephone_number": "217-448-5000",
            "fax_number": "217-477-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENA HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SCHIMEROWSKI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-477-2737"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036086987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUSMC PHYSICIAN BILLING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presence Central and Suburban Hospitals Network (Presence United Samaritans Medical Center)
• Pro-Active Wellness and Injury Centre
• Professional Physical Therapy, P.C.
• Professional Physical Therapy, PC
• Maxwell Prosser, OD
• Provena Service Corporation (Provena Medical Group)
• Provena Service Corporation (Provena Medical Group)
• Ashley Lauren Pruemer, COTA
• Megan Purcell
• Margaret L Quick

• Hematology & Oncology Physician in Danville, IL
• Providers in Danville, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.