Active NPI
Saint James Hospital
- Family Medicine Physician
- Pontiac, IL
National Provider Identifier
1699722983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAINT JAMES HOSPITAL
- Practice address
- 2500 W Reynolds St
Pontiac, IL 61764-9774 - Phone
- (800) 589-6070
- Fax
- (309) 683-5969
- NPI assigned
- May 30, 2006
- Organization subpart
- Yes
- Parent organization
- OSF HEALTHCARE SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C Sehring
- Title
- Ceo
- Phone
- (309) 655-2850
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2500 W Reynolds St
Pontiac, IL 61764-9774
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5323453 | Other | IL | BLUE SHIELD |
Other names 1
- OSFMG - Pontiac
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Eastland Med Plaza Surg
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Peoria, IL
- NPI 1093370108
Member Of
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Minonk, IL
- NPI 1225013840
-
- Internal Medicine Physician
- Pontiac, IL
- NPI 1316173636
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1356377626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1699722983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SW ADAMS ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021308",
"telephone_number": "309-655-2850",
"fax_number": "815-842-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W REYNOLDS ST",
"city": "PONTIAC",
"state": "IL",
"postal_code": "617649774",
"telephone_number": "800-589-6070",
"fax_number": "309-683-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JAMES HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
"enumeration_date": "2006-05-30",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "SEHRING",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "309-655-2850"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "5323453",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSFMG - Pontiac",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pontiac, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.