Individual provider Active NPI

Scott A. Joyner, D.O.

  • Obstetrics & Gynecology Physician
  • Marion, IL
National Provider Identifier
1720018617
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-108620 Issued in IL
Practice address
3408 Office Park Dr
Marion, IL 62959-6477
Phone
(618) 997-5266
Fax
(618) 997-5285
NPI assigned
Jul 4, 2006
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-108620 IL Primary

Addresses

Primary practice location

3408 Office Park Dr
Marion, IL 62959-6477

Mailing address

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

Other identifiers 1

IdentifierTypeStateIssuer
036108620MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000211 IL Practitioner - Obstetrics/Gynecology 8022909050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians
Heartland Women's Healthcare LTDGroup PAC ID 1759270648, 29 clinicians

Practice addresses (Care Compare)

180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

6 Park PL
Swansea, IL 62226-2966
Phone (618) 997-5266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-108620ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare LTD CurrentSince Dec 1, 2003 Accepting new patients
Graham Hospital Association CurrentSince Jul 27, 2021 Accepting new patients
Graham Hospital Association Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Obstetrics & Gynecology CurrentSince May 31, 2015 Accepting new patients
Graham Hospital Association CurrentSince Jul 27, 2021 Accepting new patients
Heartland Women's Healthcare LTD Obstetrics & Gynecology CurrentSince Dec 1, 2003 Accepting new patients
Ambulatory Surgery Center of Centralia, LLC PastSince Sep 28, 2011 Accepting new patients

Locations

175 S Main St
Canton, IL 61520
Phone (309) 647-3937

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

900 E Walnut St
Ste 10
Carbondale, IL 62901

811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025

1900 State St
Chester, IL 62233
Phone (618) 826-2388

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

929 Stacey Burk Dr
Flora, IL 62839

3408 Office Park Dr
Marion, IL 62959
Phone (318) 997-5266

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

1407 McPherson Ave
Mount Vernon, IL 62864
Phone (618) 244-1178

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

3230 Veterans Memorial Dr
Mount Vernon, IL 62864

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522

Interoperability endpoints

  • Direct secure messaging: joynersa@yourcarecommunity.org
  • Direct secure messaging: scott.joyner.1@21608.direct.athenahealth.com
  • Direct secure messaging: sjoyner81993@direct-ehr-ssmhc.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1720018617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-108620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.