Don Cassidy Arnold II, M.D.
Individual provider Active NPI Urology Physician · Herrin, IL
NPI 1457501926 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1457501926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036.131997 (IL)
- Practice address
- 220 S Park Ave FL 2
Herrin, IL 62948 - Phone
- (618) 988-6240
- Fax
- (618) 351-4814
- NPI assigned
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southern Illinois Medical Services NFP
Osf Multi-Specialty Group
Practice addresses (Care Compare)
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
220 S Park Ave
Herrin, IL 62948-3602
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Herrin Hospital
- Memorial Hospital of Carbondale
- Harrisburg Medical Center
- Saint Francis Medical Center
- St Joseph Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130807000388 | IL | Practitioner - Urology | 7517137995 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.131997 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Stokes Institute of Urology, LLC | Past | Accepting new patients |
Locations
305 W Jackson St
Ste 400
Carbondale, IL 62901
Phone (618) 351-4972
305 W Jackson St
Carbondale, IL 62901
Phone (618) 529-8800
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
117 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8625
220 S Park Ave
Fl 2
Herrin, IL 62948
Phone (618) 988-6240
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Interoperability endpoints
- darnold14006@sih.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036.131997 | IL | Yes |
Addresses
Primary practice location
220 S Park Ave FL 2
Herrin, IL 62948
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
117 E Clark St
Harrisburg, IL 62946-2702
Phone (618) 252-8625
Other practice location 2
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 351-7300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | darnold14006@sih.direct-ci.com | ||
| Direct Messaging Address | darnold14006@sih.direct-ci.com | ||
| Direct Messaging Address | darnold14006@sih.direct-ci.com |
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.