Active NPI
Erin Lee King, M.D.
- Gynecology Physician
- Granite City, IL
National Provider Identifier
1649478678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036117422
- Practice address
- 1602 21St St
Granite City, IL 62040-5397 - Phone
- (618) 451-5722
- Fax
- (618) 451-9092
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 2011001618 | MO | |
| Gynecology Physician | 207VG0400X | 036117422 | IL | Primary |
Addresses
Primary practice location
1602 21St St
Granite City, IL 62040-5397
Mailing address
1602 21St St
Granite City, IL 62040-5397
Phone (618) 451-5722
Other practice location 1
2220 Lemp Ave
Saint Louis, MO 63104-2700
Phone (314) 814-8531
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Barnes Jewish Hospital |
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 |
|---|---|---|---|
| 036117422 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hope Clinic for Women, LTD | Current | Accepting new patients | |
| The Hope Clinic for Women, LTD | Current | Accepting new patients | |
| Hope Medical Group Chicago PLLC | Past | Accepting new patients |
Locations
1602 21st St
Granite City, IL 62040
Phone (618) 451-5722
Interoperability endpoints
- eking159448@direct.carenet.org
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Granite City, IL
- NPI 1972066694
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1144058280
-
- Ambulatory Surgical Clinic/Center
- Granite City, IL
- NPI 1407033103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1649478678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 21ST ST",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620405397",
"telephone_number": "618-451-5722",
"fax_number": "314-814-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 21ST ST",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620405397",
"telephone_number": "618-451-5722",
"fax_number": "618-451-9092"
}
],
"practiceLocations": [
{
"address_1": "2220 Lemp Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631042700",
"country_code": "US",
"telephone_number": "314-814-8531",
"fax_number": "314-814-8542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ERIN",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MO",
"license": "2011001618",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036117422",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Barnes Jewish Hospital",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Application Programming Interface (API)",
"address_1": "1 Barnes-Jewish Hospital Plz",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granite City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.