Active NPI
Herbert James Huston, PHYSICIAN ASSISTANT
- Physician Assistant
- Centralia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-001637
- Practice address
- 404 N Pleasant Ave
Centralia, IL 62801-3006 - Phone
- (618) 339-9872
- Fax
- (618) 533-6816
- NPI assigned
- Aug 9, 2005
- Last updated
- May 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-001637 | IL | Primary |
Addresses
Primary practice location
404 N Pleasant Ave
Centralia, IL 62801-3006
Mailing address
404 N Pleasant Ave
Centralia, IL 62801-3006
Phone (618) 339-9872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 E McCord St
Centralia, IL 62801-3345
Phone (618) 436-6633
2 Good Samaritan Way
Suite 320
Mount Vernon, IL 62864-2408
Phone (618) 899-1944
602 S 42ND St
Mount Vernon, IL 62864-6264
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014 | CO | MD | Clinical Psychologist |
| 085-001637 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irvington Township Rural Health Clinic LLC | Past | Accepting new patients | |
| Front Range Emergency Specialists, PC | Past | Accepting new patients | |
| Marion Emergency Physicians, LLC | Past | Accepting new patients | |
| Jerry L. Beguelin, MD, PC | Past | Accepting new patients |
Interoperability endpoints
- hhuston92335@direct-ehr-ssmhc.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
-
- Rural Health Clinic/Center
- Hoyleton, IL
- NPI 1295940062
-
dba Irvington Friendly Care, PC
- Primary Care Clinic/Center
- Irvington, IL
- NPI 1922145002
-
- Emergency Medicine Physician
- Marion, IL
- NPI 1679870513
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1538233234
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1942201330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N PLEASANT AVE",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "628013006",
"telephone_number": "618-339-9872",
"fax_number": "618-533-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N PLEASANT AVE",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "628013006",
"telephone_number": "618-339-9872",
"fax_number": "618-533-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSTON",
"first_name": "HERBERT",
"middle_name": "JAMES",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-001637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, IL
- Heather Renae Howe, M.S.
- Todd Michael Hoyt, ATC
- Cody Huels, PT
- Karen Diane Hummel, PAC
- Dakota Hunter
- Teresa Hutchison
- Ann Martha Marie Ibberson, PA
- Illinois Department of Human Services
- Illinois Department of Human Services (Murray Developmental Center)
- Illinois Department of Human Services (Murray Developmental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.