Jay Riseman MD LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAY RISEMAN MD LTD

Practice address

2524 Farragut Dr
Suite C
Springfield, IL 62704-8400

Phone

(217) 546-8711

Fax

(217) 546-8720

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay A Riseman, MD

Title

Officer

Phone

(217) 629-8711

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1508982299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 FARRAGUT DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048400",
            "telephone_number": "217-546-8711",
            "fax_number": "217-546-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FARRAGUT DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048400",
            "telephone_number": "217-546-8711",
            "fax_number": "217-546-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY RISEMAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RISEMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "217-629-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK NETWORK ID",
            "identifier": "148336",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08400721",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIC SITE ID,NSF BAO-7",
            "identifier": "3001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "087768",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tornike Jashi, M.D.
• Katherine Eileen Jasmon, MA
• Archana Jasti, MD
• Murtaza Jatoi, MD
• Shravani Javadekar
• Poornima Jayaramaiah, MD
• Cory Alan Jayne, DO
• Magali D.M. Jean-Louis, M.D.
• Koketso Nefateri Jeffrey
• Richard Jeisy, M.D.

• Family Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.