Active NPI
Damon Lloyd Page, APRN
- Family Nurse Practitioner
- Macomb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209028828
- Practice address
- 1207 E Thomas St
Macomb, IL 61455-3411 - Phone
- (309) 255-3280
- NPI assigned
- Nov 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209028828 | IL | Primary |
Addresses
Primary practice location
1207 E Thomas St
Macomb, IL 61455-3411
Mailing address
1207 E Thomas St
Macomb, IL 61455-3411
Phone (309) 255-3280
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients |
Locations
1150 N Cole St
Bushnell, IL 61422
Phone (309) 772-2255
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917
515 E Grant St
Ste 113
Macomb, IL 61455
Phone (309) 833-6937
515 E Grant St
Ste 212
Macomb, IL 61455
Phone (309) 836-6400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Macomb, IL
- NPI 1609180082
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- Rural Health Clinic/Center
- Bushnell, IL
- NPI 1992041511
-
- Emergency Medicine Physician
- Macomb, IL
- NPI 1013048982
-
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
- Anatomic Pathology & Clinical Pathology Physician
- Macomb, IL
- NPI 1396055869
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1629227665
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1790934735
-
- Certified Registered Nurse Anesthetist
- Macomb, IL
- NPI 1871704874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1750157194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 E THOMAS ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553411",
"telephone_number": "309-255-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E THOMAS ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553411",
"telephone_number": "309-255-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "DAMON",
"middle_name": "LLOYD",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209028828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.