Organization Active NPI

Thomas Painter MD LLC

  • Vascular Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1336148790
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
THOMAS PAINTER MD LLC
Practice address
15 S Dryden PL
Arlington Heights, IL 60004-6369
Phone
(847) 577-5814
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Thomas A. Painter, M.D.
Title
Chairman
Phone
(847) 577-5814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

15 S Dryden PL
Arlington Heights, IL 60004-6369

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

National Provider Directory

National Provider Directory

Locations

1614 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-1414

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1336148790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S DRYDEN PL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046369",
            "telephone_number": "847-577-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PAINTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "847-577-5814",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.