Organization Active NPI

Lopatin and Associates SC

  • Family Medicine Physician
  • Troy, IL
National Provider Identifier
1689786964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOPATIN AND ASSOCIATES SC
Practice address
301 Edwardsville Road
Troy, IL 62294
Phone
(618) 667-7057
Fax
(618) 667-8131
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Dean Lopatin, MD
Title
President
Phone
(618) 667-7057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

301 Edwardsville Road
Troy, IL 62294

Mailing address

301 Edwardsville Road
Troy, IL 62294
Phone (618) 667-7057

Other names 1

  • Lopatin And Associates Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

301 Edwardsville Rd
Troy, IL 62294
Phone (618) 667-7057

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689786964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EDWARDSVILLE ROAD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "62294",
            "telephone_number": "618-667-7057",
            "fax_number": "618-667-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EDWARDSVILLE ROAD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "62294",
            "telephone_number": "618-667-7057",
            "fax_number": "618-667-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPATIN AND ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPATIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-667-7057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lopatin And Associates Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.