Active NPI
Lloyd M Flatt, M.D.
- Internal Medicine Physician
- Marseilles, IL
National Provider Identifier
1295713766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036089865
- Practice address
- 580 Sycamore St
Marseilles, IL 61341-1366 - Phone
- (815) 795-2122
- Fax
- (815) 795-3507
- NPI assigned
- Jan 5, 2006
- Last updated
- May 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036089865 | IL | Primary |
Addresses
Primary practice location
580 Sycamore St
Marseilles, IL 61341-1366
Mailing address
25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 941-9124
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089865-3 | Medicaid | IL | |
| 036089865-2 | Medicaid | IL |
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 |
|---|---|---|---|
| 036089865 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients |
Locations
27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518
150 W High St
Morris, IL 60450
Phone (815) 942-2129
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1295713766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25259 S REED ST",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604106003",
"telephone_number": "815-941-9124",
"fax_number": "815-941-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 SYCAMORE ST",
"city": "MARSEILLES",
"state": "IL",
"postal_code": "613411366",
"telephone_number": "815-795-2122",
"fax_number": "815-795-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLATT",
"first_name": "LLOYD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036089865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089865-3",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089865-2",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marseilles, IL
- Aperion Care Marseilles LLC
- Aperion Care Marseilles LLC (Aperion Care Marseilles)
- Leslie Marie Bailey, RSA
- Ian Best, M.D.
- Clear Minds Counseling LLC
- Ryan Samonte Fortes, PHYSICAL THERAPIST
- James Barry Gallai, MD
- Goldwater Care Marseilles LLC (Goldwater Care Marseilles)
- Goldwater Care Marseilles LLC (Goldwater Care Marseilles)
- Mark Anthony Gualandri, RPH PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.