Active NPI
James Kenneth Billman Jr., MD
- Anatomic Pathology & Clinical Pathology Physician
- Moline, IL
National Provider Identifier
1447251012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036-061879
- Practice address
- 1520 7TH St
Moline, IL 61265-2917 - Phone
- (309) 762-8555
- NPI assigned
- Aug 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 036-061879 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036-061879 | IL | Primary |
Addresses
Primary practice location
1520 7TH St
Moline, IL 61265-2917
Mailing address
1520 7TH St
Moline, IL 61265-2917
Phone (309) 762-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2962456 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-061879 | IL | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1447251012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652917",
"telephone_number": "309-762-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652917",
"telephone_number": "309-762-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMAN",
"first_name": "JAMES",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IL",
"license": "036-061879",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036-061879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2962456",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Bethany for Children & Families
- Bethany for Children & Families
- Bethany for Children & Families
- Ravinder Pal Singh Bhatti, M.D.
- Tracy L Bier, APRN-FNP-BC
- Katherine Bird, DPT
- Birdsell Chiropractic & Acupuncture Clinic, Chartered
- David R Birdsell, DC
- Grady Matthew Birdsell, DC
- Melissa Kae Birdsell, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.