Albany Clinic LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ALBANY CLINIC LLC

Practice address

35 Albany Rd
Carbondale, IL 62903-7646

Phone

(888) 804-4330

Fax

(217) 275-5768

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Sylvia Garwin, MDNPI 1780687574

Title

Practice Manager

Phone

(888) 804-4330

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan A Gant, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Carterville, IL
  • NPI 1275848780
  Medicare reassignment NPD
• Mark J. Garwin, M.D.

  • Anesthesiology Physician
  • Carbondale, IL
  • NPI 1326030396
  Medicare reassignment NPD
• Sylvia F Garwin, M.D.

  • Gynecology Physician
  • Carbondale, IL
  • NPI 1780687574
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1780310391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ALBANY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037646",
            "telephone_number": "888-804-4330",
            "fax_number": "217-275-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ALBANY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037646",
            "telephone_number": "888-804-4330",
            "fax_number": "217-275-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "GARWIN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "888-804-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firas J Al Badarin, MD
• Raed Al-Dallow, M.D.
• Nabil Al-Sharif, M.D.
• Fakhre Alam, MD
• Alamo Women's Clinic of Illinois LLC
• Samantha Albeedh, MSW, LSW
• Muhammad Armughan Ali, M.D.
• Align Healthcare LLC
• Align Healthcares LLC
• Nicole C Allen

• Anesthesiology Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; 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.