NPIMap

Organization Active NPI

HMC Physician Group LLC

Doing business as Hopedale Medical Complex

  • Surgery Physician
  • Hopedale, IL
National Provider Identifier
1396571782
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HMC PHYSICIAN GROUP LLC
Doing business as
Hopedale Medical Complex
Practice address
107 Tremont St
Hopedale, IL 61747-7525
Phone
(309) 449-4338
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPEDALE MEDICAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Emily WhitsonNPI 1629046024
Title
Coo
Phone
(309) 449-4296

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X
Surgery Physician 208600000X Primary
Urology Physician 208800000X

Addresses

Primary practice location

107 Tremont St
Hopedale, IL 61747-7525

Mailing address

107 Tremont St
Hopedale, IL 61747-7525
Phone (309) 449-4338

Other names 1

  • Hopedale Medical Complex Doing business as

National Provider Directory

National Provider Directory
Part of
Hopedale Pharmacy

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1396571782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMC PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEDALE MEDICAL FOUNDATION",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "309-449-4296"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopedale Medical Complex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopedale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.