NPIMap

Organization Active NPI

Macon County Medical Associates, P.C.

  • Legal Medicine
  • Decatur, IL
National Provider Identifier
1558400150
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
060005046 Issued in IL
Legal business name
MACON COUNTY MEDICAL ASSOCIATES, P.C.
Practice address
2981 N Main St
Decatur, IL 62526-3259
Phone
(217) 877-9775
Fax
(217) 877-9806
NPI assigned
Feb 6, 2007
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Gaurang P Patel, MDNPI 1871584946
Title
President
Phone
(217) 877-9775

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
Legal Medicine 173000000X 060005046 IL Primary

Addresses

Primary practice location

2981 N Main St
Decatur, IL 62526-3259

Mailing address

2981 N Main St
Decatur, IL 62526-3259
Phone (217) 877-9775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1558400150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263259",
            "telephone_number": "217-877-9775",
            "fax_number": "217-877-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263259",
            "telephone_number": "217-877-9775",
            "fax_number": "217-877-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-877-9775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "060005046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.