NPIMap

Organization Active NPI

Pana Medical Group

  • Primary Care Clinic/Center
  • Pana, IL
National Provider Identifier
1982159182
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PANA MEDICAL GROUP
Practice address
217 S Locust St
Pana, IL 62557-1605
Phone
(217) 562-2143
Fax
(217) 562-2251
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mrs. Katrina Casner
Title
Coo
Phone
(217) 562-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

217 S Locust St
Pana, IL 62557-1605

Mailing address

217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000350 IL Part B Supplier - Clinic/Group Practice 3274437348 Receives reassigned benefits from 97 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moweaqua, IL; Ramsey, IL; Pana, IL; Nokomis, IL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pana Internal Medicine17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1982159182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571605",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S LOCUST ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571605",
            "telephone_number": "217-562-2143",
            "fax_number": "217-562-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "CASNER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "217-562-2131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.

Verify at the official NPI Registry.