Homewood Flossmoor Medical Associates SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HOMEWOOD FLOSSMOOR MEDICAL ASSOCIATES SC

Practice address

17901 Governors Highway
Suite 102
Homewood, IL 60430

Phone

(708) 799-8880

Fax

(708) 799-8991

NPI assigned

Nov 2, 2005

Last updated

Mar 13, 2009By 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

Mrs. Michelle F Falk

Title

Office Administrator

Phone

(708) 799-8880

Specialties & licenses 1

Addresses

Other names 1

• Medical Associates Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6788/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Mitchell A Krawczyk, MD

  • Obstetrics & Gynecology Physician
  • Homewood, IL
  • NPI 1407847106
  Medicare reassignment NPD
• Jacqueline D White, MD

  • Obstetrics & Gynecology Physician
  • Homewood, IL
  • NPI 1932190634
  Medicare reassignment NPD
• Carmelita R Torres, MD

  • Obstetrics & Gynecology Physician
  • Orland Park, IL
  • NPI 1649251414
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1861483570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HIGHWAY",
            "address_2": "SUITE102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-799-8880",
            "fax_number": "708-799-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HIGHWAY",
            "address_2": "SUITE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-799-8880",
            "fax_number": "708-799-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD FLOSSMOOR MEDICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "708-799-8880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Sara Hollander, RN
• Dajah Hollie
• Ryann Holmes
• Tyler Olivia Holmes
• Homewood Family Dentistry LLC
• Homewood Naprapathic Pain Management Center, P.C.
• Homewood Oral Surgery PC
• Homewood School District #153
• Kayla Hoover, LCPC
• Timothy T Horak, DPM

• Obstetrics & Gynecology Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.