South Sixth Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH SIXTH MEDICAL ASSOCIATES, LLC

Practice address

2950 S 6TH St
Springfield, IL 62703-5904

Phone

(217) 588-7450

NPI assigned

May 5, 2009

Last updated

May 5, 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

J. Travis Dowell

Title

Vice President Hcna and Operations

Phone

(217) 788-3342

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Physician Services

  • Multi-Specialty Clinic/Center
  • Lincoln, IL
  • NPI 1477614105

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Marshall T Hale, M.D.

  • Family Medicine Physician
  • Jacksonville, IL
  • NPI 1245226372
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1871727958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "800-577-5368",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035904",
            "telephone_number": "217-588-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIXTH MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "J. TRAVIS",
        "authorized_official_title_or_position": "VICE PRESIDENT HCNA AND OPERATIONS",
        "authorized_official_telephone_number": "217-788-3342"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Sondgeroth, MD
• Mingchen Song, MD
• Paolo Kwan Soriano, M.D.
• Jenny L. Sorrell-Wikoff, LMT
• Abbi Sorrells
• Alyssa Southard, RBT
• Sheila Marie Southard, D,T.
• Southern Illinois University School of Medicine
• Southern View Dental Group
• Danielle Spain, APRN, CNP

• Family Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.