Active NPI
Scott P Ciechna, M.D.
- Family Medicine Physician
- Channahon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36-111123
- Practice address
- 27240 W Saxony Dr
Suite 201
Channahon, IL 60410-1415 - Phone
- (815) 467-1518
- Fax
- (815) 467-7419
- NPI assigned
- May 31, 2006
- Last updated
- Nov 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36-111123 | IL | Primary |
Addresses
Primary practice location
27240 W Saxony Dr
Suite 201
Channahon, IL 60410-1415
Mailing address
25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 941-9124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27240 W Saxony Dr
Suite 201
Channahon, IL 60410-1417
Phone (815) 467-1518
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-111123 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Family Medicine | Current | Accepting new patients |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Presence Service Corporation | Family Medicine | Past | Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
25259 S Reed St
Channahon, IL 60410
Phone (815) 467-0555
27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518
580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122
150 W High St
Morris, IL 60450
Phone (815) 942-2129
725 School St
Ste A
Morris, IL 60450
Interoperability endpoints
- scott.ciechna.1@14307.direct.athenahealth.com
- scott.ciechna@direct-address.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
dba Morris Hospital & Healthcare Centers
- General Practice Physician
- Channahon, IL
- NPI 1275648511
Family Medicine
-
dba Morris Hospital & Healthcare Centers
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
dba Presence Medical Group
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1831204536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
dba Newsome Home Health Care Agency, LLC
- Home Health Agency
- Joliet, IL
- NPI 1740592336
-
dba At Home Quality Care-Morris
- Home Health Agency
- Morris, IL
- NPI 1265672307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1508803776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25259 S REED ST",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604106003",
"telephone_number": "815-941-9124",
"fax_number": "815-941-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 W SAXONY DR",
"address_2": "SUITE 201",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604101415",
"telephone_number": "815-467-1518",
"fax_number": "815-467-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIECHNA",
"first_name": "SCOTT",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "36-111123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Channahon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.