Kenneth W Scribner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-074311 Issued in IL

Practice address

241 W Weaver Rd
#190
Forsyth, IL 62535-9799

Phone

(217) 876-5240

Fax

(217) 876-5245

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1992753172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "address_2": "#190",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359799",
            "telephone_number": "217-876-5240",
            "fax_number": "217-876-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "address_2": "#190",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359799",
            "telephone_number": "217-876-5240",
            "fax_number": "217-876-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIBNER",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-074311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005800282",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Alyce Prater, FNP-C
• Maryam Qureshi, M.D.
• Erin Elizabeth Rachford, DNP
• Kylie Rudsinski, DC
• Anne E Schniepp, NP
• Aashay Shah, O.D.
• Feras Shawish
• Kimberly A Sheppard, D.C.
• Pooja Sheth-Dutt, MD
• Joshua Shoemaker, DC

• Family Medicine Physician in Forsyth, IL
• Providers in Forsyth, 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 Feb 27, 2012; 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.