NPIMap

Organization Active NPI

Siuphysicians & Surgeons, Inc.

Doing business as Siu Quincy Family Practice Center

  • Rural Health Clinic/Center
  • Quincy, IL
National Provider Identifier
1609811520
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SIUPHYSICIANS & SURGEONS, INC.
Doing business as
Siu Quincy Family Practice Center
Practice address
612 N 11TH St
Quincy, IL 62301-2662
Phone
(217) 224-9484
Fax
(217) 224-7894
NPI assigned
Jun 17, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mr. Nelson C Weichold
Title
C.F.O.
Phone
(217) 545-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

612 N 11TH St
Quincy, IL 62301-2662

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-7578

Other identifiers 6

IdentifierTypeStateIssuer
CE8931OtherILRR MEDICARE
CB2589OtherILRR MEDICARE
CE8689OtherILRR MEDICARE
CE8688OtherILRR MEDICARE
CE8686OtherILRR MEDICARE
CE8687OtherILRR MEDICARE

Other names 1

  • SIU QUINCY FAMILY PRACTICE CENTER Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: amysands@siu.allscriptsdirect.net
  • Direct secure messaging: andrewpeterson@siu.allscriptsdirect.net
  • Direct secure messaging: cesararguelles@siu.allscriptsdirect.net
  • Direct secure messaging: christiestewart@siu.allscriptsdirect.net
  • Direct secure messaging: deserayaguirre@siu.allscriptsdirect.net
  • Direct secure messaging: ellequinn@siu.allscriptsdirect.net
  • Direct secure messaging: emmanuelohaa@siu.allscriptsdirect.net
  • Direct secure messaging: ericamiller-spears@siu.allscriptsdirect.net
  • Direct secure messaging: gwendolynscott@siu.allscriptsdirect.net
  • Direct secure messaging: hermanleung@siu.allscriptsdirect.net
  • Direct secure messaging: jamesdaniels@siu.allscriptsdirect.net
  • Direct secure messaging: jillzwick@siu.allscriptsdirect.net
  • Direct secure messaging: khusropirzada@siu.allscriptsdirect.net
  • Direct secure messaging: maryschlegl@siu.allscriptsdirect.net
  • Direct secure messaging: michaelconnolly@siu.allscriptsdirect.net
  • Direct secure messaging: mirandasmith@siu.allscriptsdirect.net
  • Direct secure messaging: morgansandhu@siu.allscriptsdirect.net
  • Direct secure messaging: obiageliesotu@siu.allscriptsdirect.net
  • Direct secure messaging: paulamackrides@siu.allscriptsdirect.net
  • Direct secure messaging: rebeccasharpe-whitaker@siu.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1609811520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-7578",
            "fax_number": "217-545-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 11TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012662",
            "telephone_number": "217-224-9484",
            "fax_number": "217-224-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIUPHYSICIANS & SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "WEICHOLD",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "217-545-7578",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8931",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB2589",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8689",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8688",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8686",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIU QUINCY FAMILY PRACTICE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.