Active NPI
David W. Lockhart, M.D.
- Family Medicine Physician
- Quincy, IL
National Provider Identifier
1619985827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-059017
- Practice address
- 927 Broadway St
Suite 120
Quincy, IL 62301-2719 - Phone
- (217) 224-6423
- Fax
- (217) 228-3251
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-059017 | IL | Primary |
Addresses
Primary practice location
927 Broadway St
Suite 120
Quincy, IL 62301-2719
Mailing address
927 Broadway St
Suite 120
Quincy, IL 62301-2719
Phone (217) 224-6423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059017 | Medicaid | IL |
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 |
|---|---|---|---|
| 036-059017 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Corporate Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Warsaw, IL
- NPI 1720186265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1619985827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 BROADWAY ST",
"address_2": "SUITE 120",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012719",
"telephone_number": "217-224-6423",
"fax_number": "217-228-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 BROADWAY ST",
"address_2": "SUITE 120",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012719",
"telephone_number": "217-224-6423",
"fax_number": "217-228-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "DAVID",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-059017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036059017",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.