Physicians Group Associates SC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PHYSICIANS GROUP ASSOCIATES SC

Practice address

111 N Main St
New Berlin, IL 62670-4593

Phone

(217) 488-2201

Fax

(217) 488-3508

NPI assigned

Nov 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James Lafata

Title

President

Phone

(217) 698-9722

Specialties & licenses 3

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Physicians Group Associates S C

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1689606246
  NPPES parent name
• Physicians Group Associates S C

  • Nurse Practitioner
  • Springfield, IL
  • NPI 1841216975
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celina C Tsang, M.D.

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1447260344
  NPD (past)
• Charles R. Potter, M.D.

  • Otolaryngology Physician
  • Lima, OH
  • NPI 1396839890
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1366779282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626290500",
            "telephone_number": "217-670-2424",
            "fax_number": "217-670-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626704593",
            "telephone_number": "217-488-2201",
            "fax_number": "217-488-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS GROUP ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "LAFATA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-698-9722",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036064159",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Dorr, R.PH.
• Monica Suzanne Huffman, PT, MS ATC/L
• Stephanie Hughes
• Jennie Marie Killam
• Linda L Orr, OTR/L
• Stephanie Snyder, BACHELORS OF SCIENCE
• Misty Leigh White- King, OCCUPATIONAL THERAPY

• All providers in New Berlin, IL
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.