Active NPI
Progressive Family Care LTD.
- Family Medicine Physician
- Columbia, IL
National Provider Identifier
1710159686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROGRESSIVE FAMILY CARE LTD.
- Practice address
- 208 N Main St
Suite H
Columbia, IL 62236-1756 - Phone
- (618) 281-2273
- Fax
- (618) 281-0245
- NPI assigned
- Mar 31, 2008
- Organization subpart
- Yes
- Parent organization
- PROGRESSIVE FAMILY CARE LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Nels Kirk, M.D.
- Title
- President
- Phone
- (618) 281-2273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
208 N Main St
Suite H
Columbia, IL 62236-1756
Mailing address
208 N Main St
Suite H
Columbia, IL 62236-1756
Phone (618) 281-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3299 | Other | MEDICARE RR |
National Provider Directory
National Provider Directory- Part of
- Progressive Family Care LTD
Locations
208 N Main St
Ste H
Columbia, IL 62236
Phone (618) 281-2273
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1972722833
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Columbia, IL
- NPI 1356337224
-
- Nurse Practitioner
- Arnold, MO
- NPI 1336230499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225411200000",
"number": "1710159686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N MAIN ST",
"address_2": "SUITE H",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622361756",
"telephone_number": "618-281-2273",
"fax_number": "618-281-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N MAIN ST",
"address_2": "SUITE H",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622361756",
"telephone_number": "618-281-2273",
"fax_number": "618-281-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE FAMILY CARE LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROGRESSIVE FAMILY CARE LTD",
"enumeration_date": "2008-03-31",
"last_updated": "2008-10-31",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "NELS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-281-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DG3299",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.