Organization Active NPI

Capitol Healthcare, S.C.

  • Rheumatology Physician
  • Springfield, IL
National Provider Identifier
1336192384
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CAPITOL HEALTHCARE, S.C.
Practice address
2603 S 6TH St
Springfield, IL 62703-3807
Phone
(217) 528-0307
Fax
(217) 528-0034
NPI assigned
May 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Pamela S Watson
Title
Assistant Business Manager
Phone
(217) 528-0307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

2603 S 6TH St
Springfield, IL 62703-3807

Mailing address

2603 S 6TH St
Springfield, IL 62703-3807
Phone (217) 528-0307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336192384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033807",
            "telephone_number": "217-528-0307",
            "fax_number": "217-528-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033807",
            "telephone_number": "217-528-0307",
            "fax_number": "217-528-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HEALTHCARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT BUSINESS MANAGER",
        "authorized_official_telephone_number": "217-528-0307"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.