Active NPI
John Peder Littlefield, P.A.
- Physician Assistant
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3474-23
- Practice address
- 1905 E Huebbe Pkwy
Beloit Health System Inc
Beloit, WI 53511-1842 - Phone
- (608) 364-2230
- Fax
- (608) 363-7374
- NPI assigned
- Jun 30, 2014
- Last updated
- Dec 19, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-005209 | IL | |
| Physician Assistant | 363A00000X | 3474-23 | WI | Primary |
Addresses
Primary practice location
1905 E Huebbe Pkwy
Beloit Health System Inc
Beloit, WI 53511-1842
Mailing address
1905 E Huebbe Pkwy
Beloit Health System Inc
Beloit, WI 53511-1842
Phone (608) 364-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-005209 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients |
Locations
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4477d7c-dbb4-4046-92c9-1cc56c248ecb/
Organizations & group practices 8
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.
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Internal Medicine Physician
- Beloit, WI
- NPI 1548345887
-
dba Hendricks Family Heart Hospital
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
dba Family Medicine - BHS
- Internal Medicine Physician
- Beloit, WI
- NPI 1912199340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1467867358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E HUEBBE PKWY",
"address_2": "BELOIT HEALTH SYSTEM INC",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2230",
"fax_number": "608-363-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 E HUEBBE PKWY",
"address_2": "BELOIT HEALTH SYSTEM INC",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2230",
"fax_number": "608-363-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLEFIELD",
"first_name": "JOHN",
"middle_name": "PEDER",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-005209",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3474-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.