NPIMap

Organization Active NPI

Hoopeston Emergency Medicine Specialists, LTD.

  • Emergency Medicine Physician
  • Hoopeston, IL
National Provider Identifier
1316965197
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042618113 Issued in IL
Legal business name
HOOPESTON EMERGENCY MEDICINE SPECIALISTS, LTD.
Practice address
701 E Orange St
Hoopeston, IL 60942-1801
Phone
(708) 393-7533
NPI assigned
Jul 18, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. John A. Timmons, MDNPI 1245224641
Title
President
Phone
(708) 393-7533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 042618113 IL Primary

Addresses

Primary practice location

701 E Orange St
Hoopeston, IL 60942-1801

Mailing address

6948 Windsor Ave
Berwyn, IL 60402-3335
Phone (708) 393-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040124000083 IL Part B Supplier - Clinic/Group Practice 0941102446 Receives reassigned benefits from 16 practitioners
Practice locations: Hoopeston, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1316965197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 WINDSOR AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023335",
            "telephone_number": "708-393-7533",
            "fax_number": "708-394-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "708-393-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON EMERGENCY MEDICINE SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-393-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "042618113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoopeston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.