Midwest Medical and Occupational Services SC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC

Doing business as

Express Care of Mt Vernon

Practice address

1104 S 42ND St
Mount Vernon, IL 62864-6216

Phone

(618) 315-6575

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Christie Lynn Foster, MDNPI 1366486235

Title

Shareholder/Director

Phone

(618) 315-6575

Specialties & licenses 1

Addresses

Other names 1

• Express Care of Mt Vernon Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Christie Foster, M.D.

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1366486235
  Medicare reassignment Care Compare group NPD Authorized official
• Kelley Renee Campbell, RN, FNP-BC

  • Family Nurse Practitioner
  • Alton, IL
  • NPI 1245590074
  Medicare reassignment Care Compare group NPD
• Christy Kelley, N.P

  • Family Nurse Practitioner
  • Irvington, IL
  • NPI 1053666792
  Medicare reassignment Care Compare group NPD
• Brittni Roldan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Harrisburg, IL
  • NPI 1770975393
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1679814305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S 42ND ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646216",
            "telephone_number": "618-315-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S 42ND ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646216",
            "telephone_number": "618-315-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SHAREHOLDER/DIRECTOR",
        "authorized_official_telephone_number": "618-315-6575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care of Mt Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinny Merchant, OT
• Mid America Radiology SC
• Midwest Emergency Good Samaritan
• Midwest Emergency Good Samaritan, Inc
• Midwest Endoscopy Associates, PLLC
• Midwest Sinus Sleep & Allergy Associates, LLC
• David Adam Milano, FNP
• Kimberly Evonne Miller-Hammond, MD
• Chelsee Miller, PHARMD
• Ciara Beaumont Miller, LPC

• Emergency Medicine Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.