Marshall Clinic Effingham, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036085448 Issued in IL

Legal business name

MARSHALL CLINIC EFFINGHAM, S.C.

Practice address

300 N Maple St
Effingham, IL 62401-2003

Phone

(217) 342-4151

Fax

(217) 342-4190

NPI assigned

May 27, 2005

Last updated

Jun 21, 2018By 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. Hope E Knauer, M.D.NPI 1376578492

Title

President

Phone

(217) 342-4151

Specialties & licenses 12

Addresses

Other identifiers 4

Practitioners 5

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.

• Hope E Knauer, M.D.

  • Family Medicine Physician
  • Effingham, IL
  • NPI 1376578492
  Authorized official Same address or phone
• Jolly Michele Dallmier, N.P.

  • Family Nurse Practitioner
  • Effingham, IL
  • NPI 1629251145
  NPD
• David J Kowalski, M.D.

  • Internal Medicine Physician
  • Effingham, IL
  • NPI 1538194600
  NPD
• Tina M Rozene, M.D.

  • Pediatrics Physician
  • Effingham, IL
  • NPI 1467489807

  Internal Medicine

  NPD
• Lana D Schmidt, M.D.

  • Dermatology Physician
  • Effingham, IL
  • NPI 1245260082
  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952304412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012003",
            "telephone_number": "217-342-4151",
            "fax_number": "217-342-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012003",
            "telephone_number": "217-342-4151",
            "fax_number": "217-342-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL CLINIC EFFINGHAM, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KNAUER",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-342-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036099940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085448",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108589",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094764",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103305",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036089116",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036103305",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036094764",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036095601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER #",
            "identifier": "2523659",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC, MEDICARE",
            "identifier": "0881270001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0902430",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK1050",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Grace Mercado Manalo, M.D.
• Jennifer C Maneja, MD
• Jan Coderko Marcott, RN IBCLC RL
• Marie Investments, LLC (Visiting Angels 1)
• Marion Eye Centers LTD.
• Michelle Marie Martelli, LPTA
• Maranda Lynn Martin, M.A., CCC-SLP
• Mitchell Ryne Martin
• Rafael Martinez
• Abbie Cristine Massengill, M.D.

• Family Medicine Physician in Effingham, IL
• Providers in Effingham, 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 Jun 21, 2018; 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.