NPIMap

Organization Active NPI

Toofan Medical Holdings, LTD.

Doing business as Effingham Express Care

  • Urgent Care Clinic/Center
  • Effingham, IL
National Provider Identifier
1396179693
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOOFAN MEDICAL HOLDINGS, LTD.
Doing business as
Effingham Express Care
Practice address
1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634
Phone
(217) 994-9301
Fax
(217) 994-9304
NPI assigned
Aug 23, 2013
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Paul Toofan, M.D.NPI 1013989805
Title
President
Phone
(217) 994-9301

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634

Mailing address

1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634
Phone (217) 994-9301

Other names 1

  • Effingham Express Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140310001343 IL Part B Supplier - Clinic/Group Practice 6800026006 Receives reassigned benefits from 12 practitioners
Practice locations: Effingham, IL; Forsyth, IL; Lincoln, IL; Litchfield, IL; Mattoon, IL; Taylorville, IL
O20140625002286 IL DME Supplier - Multi-Specialty - Physician 6800026006 Practice locations: Effingham, IL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1325 Koester Dr
Forsyth, IL 62535
Phone (217) 330-6868

20 Corvette Dr
Litchfield, IL 62056

1510 W Springfield Rd
Taylorville, IL 62568
Phone (217) 824-8244

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1396179693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENUE OF MID AMERICA",
            "address_2": "SUITE 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014634",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENUE OF MID AMERICA",
            "address_2": "SUITE 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014634",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOFAN MEDICAL HOLDINGS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "TOOFAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-994-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effingham Express Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Effingham Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.