Atwood Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-110096 Issued in IL

Legal business name

ATWOOD MEDICAL, LLC

Practice address

1400 N East St
Olney, IL 62450-2426

Phone

(618) 395-1400

Fax

(618) 395-1405

NPI assigned

Jun 26, 2007

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian L Atwood, M.D.NPI 1235182809

Title

President

Phone

(618) 395-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Brian Lee Atwood, M.D.

  • Family Medicine Physician
  • Olney, IL
  • NPI 1235182809
  Medicare reassignment NPD Authorized official
• Melissa N Kuenstler, APN, WHNP

  • Women's Health Nurse Practitioner
  • Newton, IL
  • NPI 1134469364
  Medicare reassignment NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1760688642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502426",
            "telephone_number": "618-395-1400",
            "fax_number": "618-395-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502426",
            "telephone_number": "618-395-1400",
            "fax_number": "618-395-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWOOD MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-395-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-110096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332782580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prashanth Anand, M.D
• Aperion Care Olney LLC (Aperion Care Olney)
• Aperion Care Olney LLC
• Arrow Ambulance, LLC
• Leslie Atkins, MS
• Brian Lee Atwood, M.D.
• Julie N Auteberry
• Vicki Ballard, RN
• Jamee S. Baltzell, APRN
• Christopher Baptist, D.P.M.

• Family Medicine Physician in Olney, IL
• Providers in Olney, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.