John D Scala MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JOHN D SCALA MD PC

Practice address

460 N Broadway St
Coal City, IL 60416-1045

Phone

(815) 634-4099

Fax

(815) 634-4052

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

John D Scala, MD

Title

President

Phone

(815) 634-4099

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1487729430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604500829",
            "telephone_number": "815-634-4099",
            "fax_number": "815-634-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N BROADWAY ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161045",
            "telephone_number": "815-634-4099",
            "fax_number": "815-634-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D SCALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SCALA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-634-4099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "03232018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gralewski
• Emily Ann Halliday
• Brandi Ann Hamrick, DC
• Highland Park CVS, L.L.C.
• J. Micetich, OD & Associates Family Eye Care Center P C
• Stacey Johnson, FNP/BC
• Gaurav Kapoor, MD
• Jane Louise Kapral, M.D.
• Erica Robin Krahl, MA
• Charlene Marie Krause, RN, IBCLC

• All providers in Coal City, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.