Karen Lordo Segrist, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036059505 Issued in IL

Practice address

1310 Dadrian Professional Park
Godfrey, IL 62035-1685

Phone

(618) 433-5005

Fax

(618) 467-1053

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverbend Ophthalmologists, LTD

  • Ophthalmology Physician
  • Godfrey, IL
  • NPI 1013994151
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1528045663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-5005",
            "fax_number": "618-467-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-5005",
            "fax_number": "618-467-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGRIST",
        "first_name": "KAREN",
        "middle_name": "LORDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036059505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059505",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00072982",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Scandrett, DPT
• Breane Michelle Schafer, D.C.
• Linda Sue Schillinger, RPH
• Meghan Schrumpf, PHARM.D.
• Virginia M Scroggins
• Sipd Godfrey, PLLC
• Anna R Smith, DMD
• Christine Marie Smith, COTA/L
• Robert D Smith, RTS TRANSPORTATION
• Steven Smith

• Ophthalmology Physician in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.