Active NPI
Karen Nauman, MD
- Pediatrics Physician
- Glen Carbon, IL
National Provider Identifier
1306819099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.122839
- Practice address
- 2160 S State Route 157
Suite B
Glen Carbon, IL 62034-1720 - Phone
- (618) 692-1212
- Fax
- (618) 692-4875
- NPI assigned
- Feb 11, 2006
- Last updated
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2003018915 | MO | |
| Pediatrics Physician | 208000000X | 036.122839 | IL | Primary |
Addresses
Primary practice location
2160 S State Route 157
Suite B
Glen Carbon, IL 62034-1720
Mailing address
2160 S State Route 157
Suite B
Glen Carbon, IL 62034-1720
Phone (618) 692-1212
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 |
|---|---|---|---|
| 036.122839 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuca - Cloverleaf Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Mercy Clinic East Communities | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Saint Peters, MO
- NPI 1710375928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1306819099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S STATE ROUTE 157",
"address_2": "SUITE B",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341720",
"telephone_number": "618-692-1212",
"fax_number": "618-692-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S STATE ROUTE 157",
"address_2": "SUITE B",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341720",
"telephone_number": "618-692-1212",
"fax_number": "618-692-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUMAN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-11",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2003018915",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.122839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.