Active NPI
Kevin Wayne Ames, DVM
- Special Hospital
- Collinsville, IL
National Provider Identifier
1932407772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 090010212
- Practice address
- 2005 Mall St
Collinsville, IL 62234-1832 - Phone
- (618) 346-1898
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | 090010212 | IL | Primary |
Addresses
Primary practice location
2005 Mall St
Collinsville, IL 62234-1832
Mailing address
704 Illinois Ave
Collinsville, IL 62234-4508
Phone (618) 541-1407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090010212 | IL | MD | Special Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1932407772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 ILLINOIS AVE",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344508",
"telephone_number": "618-541-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 MALL ST",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622341832",
"telephone_number": "618-346-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMES",
"first_name": "KEVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "IL",
"license": "090010212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collinsville, IL
- Adapt of Illinois, Inc.
- Aging Well Health Care, LLC (AW Health Care)
- Diedra M Ahlert, CPNP-PC
- Makin Uddin Ahmed, MD
- American Homepatient, Inc.
- Apex Physical Therapy, LLC (ApexNetwork Physical Therapy)
- Apria Healthcare LLC
- Julia L Arndt, PT
- Ashmann Prescription Phcy Inc (Ashmann Prescription Pharmacy Incorporated)
- Mohammad Reza S Ashraf
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.