Individual provider Active NPI

Pamela Mitchell Franklin, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1700938420
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036052464 Issued in IL
Practice address
3303 S Halsted St
Ste 207
Chicago, IL 60608-6877
Phone
(773) 633-2543
Fax
(773) 420-3494
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036052464 IL Primary

Addresses

Primary practice location

3303 S Halsted St
Ste 207
Chicago, IL 60608-6877

Mailing address

5035 S East End Ave
Apt 3310N
Chicago, IL 60615-0131
Phone (773) 288-1398

Other identifiers 1

IdentifierTypeStateIssuer
036052464MedicaidIL

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed, LTD Past Accepting new patients
Lake Shore Anesthesia Associates, LLC Past Accepting new patients
Emergency Care Physician Services Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1700938420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 S EAST END AVE",
            "address_2": "APT 3310N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606150131",
            "telephone_number": "773-288-1398",
            "fax_number": "773-288-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST",
            "address_2": "STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086877",
            "telephone_number": "773-633-2543",
            "fax_number": "773-420-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "PAMELA",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036052464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.