Active NPI
Ottawa Regional Hospital & Healthcare Center
Doing business as OSF Healthcare - Medical Group (Non-RHC Billing)
- Family Medicine Physician
- Marseilles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
- Doing business as
- OSF Healthcare - Medical Group (Non-RHC Billing)
- Practice address
- 102 11TH St
Marseilles, IL 61341-1048 - Phone
- (815) 795-5400
- NPI assigned
- Oct 24, 2022
- Last updated
- Mar 7, 2024
- Organization subpart
- Yes
- Parent organization
- OSF HEALTHCARE SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C Sehring
- Title
- Chief Executive Officer
- Phone
- (309) 655-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
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 names 1
- OSF Healthcare - Medical Group (Non-RHC Billing)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Ottawa, IL
- NPI 1306971080
O20040109000910
National Provider Directory
National Provider Directory- Part of
- Osf Healthcare System
Locations
1601 Mercury Ct
Ste 200
Ottawa, IL 61350
Phone (815) 431-5125
1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010
411 Canal St
Ottawa, IL 61350
Phone (815) 431-5230
920 West St
Ste 110
Peru, IL 61354
Phone (815) 433-3100
920 West St
Ste 225
Peru, IL 61354
Phone (815) 221-1302
111 Spring St
Fl 1
Streator, IL 61364
Phone (815) 673-2311
111 Spring St
Ste 204
Streator, IL 61364
Phone (815) 673-4549
Practitioners & affiliated clinicians
Practitioners 136
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Aurora, IL
- NPI 1134997414
-
- Anesthesiology Physician
- Hinsdale, IL
- NPI 1639464985
-
- Family Nurse Practitioner
- Ottawa, IL
- NPI 1639981285
-
- Clinical Social Worker
- Ottawa, IL
- NPI 1659809580
-
- Professional Counselor
- Ottawa, IL
- NPI 1275619645
-
- Radiation Oncology Physician
- Schaumburg, IL
- NPI 1932606654
-
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1649245564
-
- Family Nurse Practitioner
- Normal, IL
- NPI 1295088391
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1346781572
-
- Family Medicine Physician
- Ottawa, IL
- NPI 1821046186
-
- Physician Assistant
- Lincolnshire, IL
- NPI 1588456818
-
- Family Nurse Practitioner
- La Salle, IL
- NPI 1679024111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1558088203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SW ADAMS ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021308",
"telephone_number": "309-655-2850",
"fax_number": "309-655-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 11TH ST",
"city": "MARSEILLES",
"state": "IL",
"postal_code": "613411048",
"telephone_number": "815-795-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
"enumeration_date": "2022-10-24",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "SEHRING",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "309-655-2850"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OSF Healthcare - Medical Group (Non-RHC Billing)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marseilles, IL
- Leslie Lynn Morscheiser
- Eleazar Elegino Nellas, PT
- Victoria O'Hanlon, APRN FNP-C
- Og Surgical Assistance Inc
- Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group - Marseilles)
- PHRS, LLC (Rivershores Care Center)
- River Shore Rehabilitation and Nursing Center
- Rivershores Healthcare and Rehabilitation Centre LLC (Rivershores Healthcare and Rehabilitation Centre)
- Jesse Rodriguez-Hammond
- Schotts Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.