NPIMap

Organization Active NPI

Southern Illinois Oncology & Hematology LTD

  • Hematology & Oncology Physician
  • Marion, IL
National Provider Identifier
1588786339
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036098622 Issued in IL
Legal business name
SOUTHERN ILLINOIS ONCOLOGY & HEMATOLOGY LTD
Practice address
3008 Civic Circle Blvd
Marion, IL 62959-5262
Phone
(607) 324-2340
NPI assigned
Apr 4, 2007
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Alberto Cuartas, MDNPI 1740381169
Title
MD
Phone
(618) 993-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036098622 IL Primary

Addresses

Primary practice location

3008 Civic Circle Blvd
Marion, IL 62959-5262

Mailing address

3008 Civic Circle Blvd
Marion, IL 62959-5262
Phone (618) 993-1030

Other identifiers 2

IdentifierTypeStateIssuer
10027291OtherILBCBS OF ILLINOIS
036098622MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acuartas15649@sih.direct-ci.com

National Provider Directory

National Provider Directory

Locations

3008 Civic Circle Blvd
Marion, IL 62959
Phone (618) 993-1030

Interoperability endpoints

  • Direct secure messaging: acuartas15649@sih.direct-ci.com

Practitioners & affiliated clinicians

Practitioners 1

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1588786339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 CIVIC CIRCLE BLVD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595262",
            "telephone_number": "618-993-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 CIVIC CIRCLE BLVD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595262",
            "telephone_number": "607-324-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS ONCOLOGY & HEMATOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "CUARTAS",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "618-993-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036098622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "10027291",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098622",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acuartas15649@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "3008 Civic Circle Blvd",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629595262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.