NPIMap

Organization Active NPI

Lake Barrington Womens Health Center PC

  • Specialist
  • Lake Barrington, IL
National Provider Identifier
1558332940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAKE BARRINGTON WOMENS HEALTH CENTER PC
Practice address
22N285 Pepper Rd
Suite 111
Lake Barrington, IL 60010-5982
Phone
(847) 382-7330
Fax
(847) 382-9654
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Thomas J Meyer, M.D.NPI 1144206012
Title
Senior Partner
Phone
(847) 382-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

22N285 Pepper Rd
Suite 111
Lake Barrington, IL 60010-5982

Mailing address

22N285 Pepper Rd
Suite 111
Lake Barrington, IL 60010-2539
Phone (847) 382-7330

Other identifiers 2

IdentifierTypeStateIssuer
04900984OtherILBLUE CROSS BLUE SHIELD
CL2981OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000066 IL Part B Supplier - Clinic/Group Practice 0840268975 Receives reassigned benefits from 5 practitioners
Practice locations: Algonquin, IL; Lake Barrington, IL

National Provider Directory

National Provider Directory
Tax ID family
Lake Barrington Women'S Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2298 County Line Rd
Algonquin, IL 60102
Phone (847) 854-8542

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61178

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558332940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22N285 PEPPER RD",
            "address_2": "SUITE 111",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-382-7330",
            "fax_number": "847-382-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22N285 PEPPER RD",
            "address_2": "SUITE 111",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600105982",
            "telephone_number": "847-382-7330",
            "fax_number": "847-382-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BARRINGTON WOMENS HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "847-382-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04900984",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL2981",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.