Active NPI
Neurological Surgery of Belleville
- Neurological Surgery Physician
- Belleville, IL
National Provider Identifier
1841361623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0336020691
- Legal business name
- NEUROLOGICAL SURGERY OF BELLEVILLE
- Practice address
- 340 West Lincoln Street
Suite 540
Belleville, IL 62220 - Phone
- (618) 233-3330
- Fax
- (618) 233-3170
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert E Schultz Sr., MD
- Title
- Ceo
- Phone
- (618) 233-3330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0336020691 | IL | Primary |
Addresses
Primary practice location
340 West Lincoln Street
Suite 540
Belleville, IL 62220
Mailing address
340 West Lincoln Street
Suite 540
Belleville, IL 62220
Phone (618) 233-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8232111 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841361623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WEST LINCOLN STREET",
"address_2": "SUITE 540",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62220",
"telephone_number": "618-233-3330",
"fax_number": "618-233-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WEST LINCOLN STREET",
"address_2": "SUITE 540",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62220",
"telephone_number": "618-233-3330",
"fax_number": "618-233-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL SURGERY OF BELLEVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-233-3330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "IL",
"license": "0336020691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8232111",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.