Ottawa Regional Hospital & Healthcare Center
Organization Active NPI Family Medicine Physician · Marseilles, IL
NPI 1558088203 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1558088203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
- Practice address
- 102 11TH St
Marseilles, IL 61341-1048 - Phone
- (815) 795-5400
- NPI assigned
- Oct 24, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- OSF HEALTHCARE SYSTEM
Authorized official
- Name
- Robert C Sehring
- Title
- Chief Executive Officer
- Phone
- (309) 655-2850
Other NPIs on the same Medicare enrollment 1
Practitioners 136
-
Tasha Marie Arteaga, APRN
-
Valerie Anne Arwood, LCSW
-
Beth Anne Aussem, LCPC
-
Amishi Bajaj, MD
-
Christopher Beach, M.D.
-
Angel Bermudez, M.D.
-
Jamie Bond, FNP
-
Branden Briggs, M.D.
-
Ricardo Joseph Calderon, M.D.
-
Ruben Cardoso Jr., M.D.
-
Laura Anne Cartwright, LCSW
-
Deirdre Casagrande, APRN
-
Keith Christensen, APN, FNP
-
Joseph W Chuprevich, D.O.
-
Vijay Desai, M.D.
-
Ami M Dose, APRN, FNP
-
Patrick J Dowling, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000910 | IL | Part B Supplier - Clinic/Group Practice | 9133029861 |
Receives reassigned benefits from 140 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marseilles, IL; Peru, IL; Ottawa, IL |
National Provider Directory
- Part of
- Eastland Med Plaza Surg
Locations
1209 Starfire Dr
Ste 3
Ottawa, IL 61350
Phone (815) 433-3745
411 Canal St
Ottawa, IL 61350
Phone (815) 431-5230
1601 Mercury Ct
Ste 200
Ottawa, IL 61350
Phone (815) 431-5125
1601 Mercury Ct
Ste 1
Ottawa, IL 61350
Phone (815) 433-6096
111 Spring St
Ste 204
Streator, IL 61364
Phone (815) 673-4549
111 Spring St
Fl 1
Streator, IL 61364
Phone (815) 673-2311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
102 11TH St
Marseilles, IL 61341-1048
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999 | Medicaid | IL |
Other names
- OSF Healthcare - Medical Group (Non-RHC Billing)
Other providers in Marseilles, IL
- Leslie Lynn Morscheiser
- Eleazar Elegino Nellas
- Victoria O'Hanlon
- Og Surgical Assistance Inc
- Ottawa Regional Hospital & Healthcare Center
- PHRS, LLC
- River Shore Rehabilitation and Nursing Center
- Rivershores Healthcare and Rehabilitation Centre LLC
- Jesse Rodriguez-Hammond
- Schotts Pharmacy Inc
All providers in Marseilles, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.