NPIMap

Organization Active NPI

Javier Muniz, DO, LLC

  • Internal Medicine Physician
  • Herrin, IL
National Provider Identifier
1700807575
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036097846 Issued in IL
Legal business name
JAVIER MUNIZ, DO, LLC
Practice address
315 S 13TH St
Suite 2
Herrin, IL 62948-3619
Phone
(618) 942-5883
Fax
(618) 942-5921
NPI assigned
Jul 21, 2006
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Javier Muniz, DONPI 1548263668
Title
Owner
Phone
(618) 942-5883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036097846 IL Primary

Addresses

Primary practice location

315 S 13TH St
Suite 2
Herrin, IL 62948-3619

Mailing address

315 S 13TH St
Suite 2
Herrin, IL 62948-3619
Phone (618) 942-5883

Other identifiers 6

IdentifierTypeStateIssuer
39692OtherILHEALTH ALLIANCE
101436OtherILBLACK LUNG
10032009OtherILBCBS
110245013OtherILRR MEDICARE
036097846MedicaidIL
385740OtherILHEALTHLINK

National Provider Directory

National Provider Directory

Locations

315 S 13th St
Ste 2
Herrin, IL 62948
Phone (618) 942-5883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1700807575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S 13TH ST",
            "address_2": "SUITE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483619",
            "telephone_number": "618-942-5883",
            "fax_number": "618-942-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 13TH ST",
            "address_2": "SUITE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483619",
            "telephone_number": "618-942-5883",
            "fax_number": "618-942-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER MUNIZ, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-942-5883",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "39692",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "101436",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10032009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110245013",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097846",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "385740",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.