Ernesto Norona Fabi, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Practice address

217 S Locust St
Pana Medical Group LLC
Pana, IL 62557-9998

Phone

(217) 562-2143

Fax

(217) 562-2251

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851460737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625579998",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "address_2": "PANA MEDICAL GROUP LLC",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625579998",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABI",
        "first_name": "ERNESTO",
        "middle_name": "NORONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY ADMIN HEALTH LI",
            "identifier": "119000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEALTH PLAN",
            "identifier": "1115581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Pana, IL
• Providers in Pana, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.