Active NPI
St Josephs Hospital of the Hospital Sisters of the Third Order of St F
- Radiology Clinic/Center
- Highland, IL
National Provider Identifier
1962642140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
- Practice address
- 12866 Troxler Ave
Highland, IL 62249-2806 - Phone
- (618) 651-2600
- Fax
- (618) 651-2555
- NPI assigned
- Feb 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Bond
- Title
- System Director-Government Reimb
- Phone
- (217) 814-4586
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
12866 Troxler Ave
Highland, IL 62249-2806
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Phone (618) 651-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040403000043 | IL | Part B Supplier - Clinic/Group Practice | 4183617517 |
Receives reassigned benefits from 47 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Highland, IL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
O20040403000043
National Provider Directory
National Provider Directory- Tax ID family
- St Josephs Hosp of the Hosp
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Highland, IL
- NPI 1003910217
-
- Medicare Defined Swing Bed Hospital Unit
- Highland, IL
- NPI 1194829309
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
- General Acute Care Hospital
- Highland, IL
- NPI 1912001124
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1639733249
-
- Cardiovascular Disease Physician
- O Fallon, IL
- NPI 1023128113
-
- Surgery Physician
- Highland, IL
- NPI 1982693271
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1336580760
-
- Cardiovascular Disease Physician
- O Fallon, IL
- NPI 1104207984
-
- Emergency Medicine Physician
- Greenville, IL
- NPI 1134380843
-
- Cardiovascular Disease Physician
- O Fallon, IL
- NPI 1215965660
-
- Emergency Medicine Physician
- O Fallon, IL
- NPI 1396366811
-
- Infectious Disease Physician
- San Antonio, TX
- NPI 1417273301
-
- Emergency Medicine Physician
- Panama City, FL
- NPI 1871913251
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1801356977
-
- Certified Registered Nurse Anesthetist
- Siler City, NC
- NPI 1255639068
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1962642140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 HOLLIS DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047450",
"telephone_number": "618-651-2600",
"fax_number": "618-651-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12866 TROXLER AVE",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622492806",
"telephone_number": "618-651-2600",
"fax_number": "618-651-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-27",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "SYSTEM DIRECTOR-GOVERNMENT REIMB",
"authorized_official_telephone_number": "217-814-4586"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IL
- St Josephs Hospital Breese of the Hospital Sisters of the Third Orde
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
- St Josephs Hospital of the Hospital Sisters of the Third Order of St F
- Straeter Thinking LLC
- Isaac Strole, DC
- Nanthini Suthan, M.D
- Sambasivam Suthan, M.D
- Tiffany Michelle Tallman, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.