NPIMap

Organization Active NPI

Esa SC

  • Surgery Physician
  • Effingham, IL
National Provider Identifier
1619987898
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
042006074 Issued in IL
Legal business name
ESA SC
Practice address
900 W Temple Ave
Suite 101
Effingham, IL 62401-2186
Phone
(217) 347-2500
Fax
(217) 342-9775
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Ms. Billye Jo Ritchey
Title
Office Manager
Phone
(217) 347-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 042006074 IL Primary

Addresses

Primary practice location

900 W Temple Ave
Suite 101
Effingham, IL 62401-2186

Mailing address

900 W Temple Ave
Suite 101
Effingham, IL 62401-2186
Phone (217) 347-2500

Other names 1

  • EFFINGHAM SURGICAL ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1619987898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE",
            "address_2": "SUITE 101",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012186",
            "telephone_number": "217-347-2500",
            "fax_number": "217-342-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE",
            "address_2": "SUITE 101",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012186",
            "telephone_number": "217-347-2500",
            "fax_number": "217-342-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "RITCHEY",
        "authorized_official_first_name": "BILLYE JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-347-2565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "042006074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EFFINGHAM SURGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.