Active NPI
Ernest Vesta, MD
- Emergency Medicine Physician
- Galesburg, IL
National Provider Identifier
1568430767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 695 N Kellogg St
Galesburg, IL 61401-2807 - Phone
- (309) 343-8131
- Fax
- (309) 343-2393
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
695 N Kellogg St
Galesburg, IL 61401-2807
Mailing address
3511 Lizum CT
Rockford, IL 61114-7318
Phone (815) 877-5287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-064584 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Western Illinois, Inc | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of Indiana, Inc | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of Indiana, Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Galesburg, IL
- NPI 1902848187
-
- Nurse Practitioner
- Gary, IN
- NPI 1568420206
Emergency Medicine
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1629036363
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568430767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 LIZUM CT",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611147318",
"telephone_number": "815-877-5287",
"fax_number": "815-877-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 N KELLOGG ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012807",
"telephone_number": "309-343-8131",
"fax_number": "309-343-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESTA",
"first_name": "ERNEST",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.