Physicians Community Medical Center Harvey, S.C.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PHYSICIANS COMMUNITY MEDICAL CENTER HARVEY, S.C.

Practice address

15900 Carol Ave
Harvey, IL 60426-5207

Phone

(708) 798-8112

Fax

(708) 535-6396

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Cherise Elmore

Title

Medical Billing Manager

Phone

(708) 798-8112

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Massoud Nourbash, M.D.

  • Surgery Physician
  • Harvey, IL
  • NPI 1790702546
  NPD (past)
• Kumudchandra S Shah, MD

  • Obstetrics & Gynecology Physician
  • Hazel Crest, IL
  • NPI 1891862959
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1578846465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE # 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523334",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 CAROL AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604265207",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS COMMUNITY MEDICAL CENTER HARVEY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "708-798-8112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Manager Services
• Peace Medical Center, S.C.
• Lisa Peng, M.D.
• Carol Peppers-Taylor, LCPC
• Anita Marie Phillips
• Gwendolyn Denise Pinkney, FNP
• Pramod K Anand, M.D. LTD
• Dorothy S Price, LCSW
• Psycynergy Psychological Services
• Psycynergy Psychological Services PC

• Adult Medicine Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.