James T Niemeyer, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

036084801 Issued in IL

Practice address

250 E Maple St
New Lenox, IL 60451-1871

Phone

(815) 485-0760

Fax

(815) 463-6138

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Good Night Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Morris, IL
  • NPI 1194900126
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1396742466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991184",
            "telephone_number": "815-485-0760",
            "fax_number": "815-463-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511871",
            "telephone_number": "815-485-0760",
            "fax_number": "815-463-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036084801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Lenox Fire Protection District
• New Lenox School District 122
• NGX Illinois SC
• Nicole Graves, DDS, PC (New Lenox Family Dental)
• Hollie Ann Nieland, FNP-BC
• Megan Kathleen Niemiec, MSN, FNP-BC
• Anna Nikitscher, COTA/L
• Amanda L Noel
• Gabriel Noguez, PT, CSST, CKTP
• Northern Illinois Imaging Services LTD

• Sports Medicine (Family Medicine) Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Sports Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.