Active NPI
Joanna Missygar, PA-C
- Medical Physician Assistant
- Des Plaines, IL
National Provider Identifier
1669560355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085-002429
- Practice address
- 1460 Market St
Suite 300
Des Plaines, IL 60016-4643 - Phone
- (847) 813-0700
- Fax
- (847) 813-0797
- NPI assigned
- Oct 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085-002429 | IL | Primary |
Addresses
Primary practice location
1460 Market St
Suite 300
Des Plaines, IL 60016-4643
Mailing address
1460 Market St
Suite 300
Des Plaines, IL 60016-4643
Phone (847) 813-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002429 | IL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1669560355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 MARKET ST",
"address_2": "SUITE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164643",
"telephone_number": "847-813-0700",
"fax_number": "847-813-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 MARKET ST",
"address_2": "SUITE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164643",
"telephone_number": "847-813-0700",
"fax_number": "847-813-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSYGAR",
"first_name": "JOANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085-002429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.