Hospitalmd of Sparta, Inc

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

HOSPITALMD OF SPARTA, INC

Practice address

818 E Broadway St
Sparta, IL 62286-1820

Phone

(618) 443-2177

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James H Burnette

Title

President

Phone

(678) 364-1422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609097617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CAMDEN COPE",
            "address_2": "PO BOX 2087",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692455",
            "telephone_number": "678-364-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861820",
            "telephone_number": "618-443-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALMD OF SPARTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-364-1422"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elaine Graham, D.M.D.
• Taylor Harbaugh
• Mary Harre, PHARMACIST
• Maxwell Martin Hayden, DPM
• Hospitalmd of Sparta-Ip, Inc
• Human Service Center
• Human Service Center
• Human Services Center (Human Service Center)
• K&S Pharmacies of Southern Illinois LTD (Moody Health Mart Pharmacy)
• K&S Pharmacies of Southern Illinois LTD (Moody Pharmacy)

• Emergency Medical Services (Emergency Medicine) Physician in Sparta, IL
• Providers in Sparta, IL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.