Organization Active NPI

Sarah Hasek, MD, LLC

  • Family Medicine Physician
  • Carbondale, IL
National Provider Identifier
1487833091
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARAH HASEK, MD, LLC
Practice address
207 W Jackson St Ste 202
Carbondale, IL 62901-1408
Phone
(618) 351-9559
Fax
(618) 351-9005
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Sarah Beth HasekNPI 1336216738
Title
MD
Phone
(618) 351-9559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

207 W Jackson St Ste 202
Carbondale, IL 62901-1408

Mailing address

207 W Jackson St Ste 202
Carbondale, IL 62901-1408
Phone (618) 351-9559

Other identifiers 1

IdentifierTypeStateIssuer
036104069-2MedicaidIL

National Provider Directory

National Provider Directory

Locations

120 N Tower Rd
Carbondale, IL 62901
Phone (618) 546-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1487833091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE 202",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011408",
            "telephone_number": "618-351-9559",
            "fax_number": "618-351-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE 202",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011408",
            "telephone_number": "618-351-9559",
            "fax_number": "618-351-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH HASEK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "HASEK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "618-351-9559"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104069-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.