Effingham Urology Associates,S.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

042003881 Issued in IL

Legal business name

EFFINGHAM UROLOGY ASSOCIATES,S.C.

Practice address

414 W Virginia Ave
Effingham, IL 62401-2258

Phone

(217) 342-9738

Fax

(217) 342-9806

NPI assigned

Aug 21, 2006

Last updated

May 19, 2008By 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

Dr. Pernankel D L Nayak, M.D.NPI 1114982154

Title

Owner

Phone

(217) 342-9738

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Pernankel D Nayak, M.D.

  • Urology Physician
  • Effingham, IL
  • NPI 1114982154
  Authorized official Same address or phone
• David W McNichols, M.D.

  • Urology Physician
  • Effingham, IL
  • NPI 1144285826
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1902911431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W VIRGINIA AVE",
            "address_2": "P O BOX 1169",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012258",
            "telephone_number": "217-342-9738",
            "fax_number": "217-342-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012258",
            "telephone_number": "217-342-9738",
            "fax_number": "217-342-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM UROLOGY ASSOCIATES,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "PERNANKEL",
        "authorized_official_middle_name": "D L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-342-9738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "042003881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002500053",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC9824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Effingham Ophthalmology Associates, LTD.
• Effingham Orthopedic Clinic SC
• Effingham Pelvic Health & Wellness, PLLC
• Effingham Sleep Center, Inc
• Effingham Suites, LLC
• James Ellis, D.O., FACEP
• Jennifer Lynn Emmerich, MOTR/L
• Empowerme Rehabilitation Illinois, LLC
• Valerie Engelbart, BS
• Esa SC (Effingham Surgical Associates)

• Health Service Clinic/Center in Effingham, IL
• Providers in Effingham, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.