Renato Ralota Katubig, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

1008 West Cherry Street
Suite B
Marion, IL 62959

Phone

(618) 993-0404

Fax

(618) 993-1717

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316023898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WEST CHERRY STREET",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-0404",
            "fax_number": "618-993-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WEST CHERRY STREET",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-993-0404",
            "fax_number": "618-993-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUBIG",
        "first_name": "RENATO",
        "middle_name": "RALOTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Kadela, PH.D., LCSW
• Tom Kaiser, LCPC
• Sharon Ann Kapitany
• Gary Scott Karnes, D.C.
• Wanda Karnes
• Brittany Kaufman, OTR/L
• Kevin E. Kays, DMD
• Lisa Kearney
• Isaac Kee
• Joy L. Kee, LCSW

• Family Medicine Physician in Marion, IL
• Providers in Marion, 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 Jul 8, 2007; 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.