NPIMap

Organization Active NPI

Southern Illinois Sleep Institute

  • Sleep Disorder Diagnostic Clinic/Center
  • Marion, IL
National Provider Identifier
1811954944
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOUTHERN ILLINOIS SLEEP INSTITUTE
Practice address
105 Airway Dr
Marion, IL 62959-5872
Phone
(618) 997-5500
Fax
(618) 997-5501
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Ms. Anita G. Hopkin, R.PSG.T.
Title
Billing Manager
Phone
(314) 645-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

105 Airway Dr
Marion, IL 62959-5872

Mailing address

PO Box 797090
Saint Louis, MO 63179-7000
Phone (314) 645-5855

Other identifiers 1

IdentifierTypeStateIssuer
0010032043OtherILBLUE CROSS PROVIDER #

National Provider Directory

National Provider Directory

Locations

105 Airway Dr
Marion, IL 62959
Phone (618) 997-5500

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1811954944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797090",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631797000",
            "telephone_number": "314-645-5855",
            "fax_number": "314-645-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AIRWAY DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595872",
            "telephone_number": "618-997-5500",
            "fax_number": "618-997-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS SLEEP INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HOPKIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "314-645-5855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PSG.T."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0010032043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.