Cheryl Emmons MDSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CHERYL EMMONS MDSC

Practice address

1100 S 42ND St
Suite B
Mount Vernon, IL 62864-6216

Phone

(618) 244-5053

Fax

(618) 244-1355

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Cheryl Emmons, MDNPI 1295755114

Title

President

Phone

(618) 244-5053

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Cheryl L Emmons, MD

  • Nephrology Physician
  • Mount Vernon, IL
  • NPI 1295755114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871719476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 42ND ST",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646216",
            "telephone_number": "618-244-5053",
            "fax_number": "618-244-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 42ND ST",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646216",
            "telephone_number": "618-244-5053",
            "fax_number": "618-244-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL EMMONS MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-5053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "4132016",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485401763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Charlton, O.T.
• Rebecca Chavez
• Hitanshu Chawla, M.D.
• Ismat Cheema, DO
• Henry H Chen, M.D.
• Megan Sarah Chillson, OTR/L
• Chiropractic Wellness Center of Mt Vernon, LLC.
• Calvin C Chiu, MD
• Choices Counseling, Inc.
• James C Chow, M.D.

• Nephrology Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Nephrology Physician in Illinois

• 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.
• 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.