Organization Active NPI

Alton Multispecialists, LTD.

Doing business as Alton MultiSpecialists

  • Mammography Clinic/Center
  • Alton, IL
National Provider Identifier
1952778474
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
ALTON MULTISPECIALISTS, LTD.
Doing business as
Alton MultiSpecialists
Practice address
1 Professional Dr
Alton, IL 62002-5068
Phone
(618) 463-8500
Fax
(618) 474-0130
NPI assigned
Sep 1, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sherri R Henson
Title
Executive Director
Phone
(618) 463-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X IL Primary

Addresses

Primary practice location

1 Professional Dr
Alton, IL 62002-5068

Mailing address

1 Professional Dr
Alton, IL 62002-5068
Phone (618) 463-8500

Other identifiers 1

IdentifierTypeStateIssuer
042005251OtherILMAMMOGRAPHY SERVICES

Other names 1

  • Alton MultiSpecialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lawrence Scariano MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1952778474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025068",
            "telephone_number": "618-463-8500",
            "fax_number": "618-474-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025068",
            "telephone_number": "618-463-8500",
            "fax_number": "618-474-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON MULTISPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-463-8534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY SERVICES",
            "identifier": "042005251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alton MultiSpecialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.