Edward Health Ventures

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

EDWARD HEALTH VENTURES

Practice address

24600 W. 127TH St
BLDG a, 2ND Floor
Plainfield, IL 60585-9508

Phone

(815) 731-9190

Fax

(815) 731-9191

NPI assigned

Mar 21, 2007

Last updated

Sep 3, 2009By 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

Mr. William G. Kottman

Title

President

Phone

(630) 646-3950

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Edward Hematology Oncology Group Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 11

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.

• Thomas R Carver, MD

  • Obstetrics & Gynecology Physician
  • Oakbrook Terrace, IL
  • NPI 1851474753
  NPD
• Michelle L Horvath, PA-C

  • Physician Assistant
  • Crest Hill, IL
  • NPI 1487643003
  NPD
• Yuri Zermeno, MD

  • Obstetrics & Gynecology Physician
  • Naperville, IL
  • NPI 1003310186
  NPD
• William Robert Broderick, M.D.

  • Hematology & Oncology Physician
  • Naperville, IL
  • NPI 1164696464
  NPD (past)
• James A Lengemann, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1447247572
  NPD (past)
• Hassan Pervez, M.D.

  • Hematology & Oncology Physician
  • Naperville, IL
  • NPI 1144373457
  NPD (past)
• John M Saran, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1720075849
  NPD (past)
• Adam Thomas Schriedel, M.D.

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1386815504
  NPD (past)
• Douglas Tran, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1144270976
  NPD (past)
• Timothy J Tyrrell, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1578551719
  NPD (past)
• Mark J. Yarshen, DO

  • Family Medicine Physician
  • College Station, TX
  • NPI 1992714885
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1326163767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 DIEHL RD.",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-646-3950",
            "fax_number": "630-548-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W. 127TH ST",
            "address_2": "BLDG A, 2ND FLOOR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859508",
            "telephone_number": "815-731-9190",
            "fax_number": "815-731-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "KOTTMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-646-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2221474",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "366700",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Hematology Oncology Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgewood Clinical Services of Plainfield
• Edward Health Services Corporation
• Edward Health Ventures
• Edward Health Ventures (Edward Medical Group)
• Edward Health Ventures
• Edward Health Ventures (Edward Medical Group - Walk In Clinic)
• Edward Health Ventures (Edward Medical Group)
• Edward Health Ventures
• Edward Health Ventures (Edward Medical Group)
• Edward Hospital (Endeavor Health Laboratories in Plainfield)

• Hematology & Oncology Physician in Plainfield, IL
• Providers in Plainfield, 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 Sep 3, 2009; 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.