ST. JOHN'S HOSPITAL (NPI# 1083883615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083883615 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S HOSPITAL |
| Practice Address |
800 E Carpenter St Springfield IL 62769-0002 |
| Mailing Address |
800 E Carpenter Street Springfield IL 62769-0001 |
| Practice Telephone | 2175446464 |
| Practice Fax Number | 2177576545 |
| Mailing Telephone | 2175446464 |
| Mailing Fax Number | 2177576545 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | STEVEN JON UMLAND (CEO) |
| Authorized Official Telephone | 2178148880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 146.005261 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 529981931001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447680145 | St. John's Hospital | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ST. JOHN'S HOSPITAL INC. | Rt 2 Box 389, Richmond, Virginia 23233 |
| Oklahoma Business Registrations | ST. JOHN'S HOSPITAL OF SALINA, KANSAS | None, None |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62769-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683656 | Mounir F Banoub | Anesthesiology | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-21 |
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921578 | Sherry Ann Jankuski | Occupational Therapist | 800 E. Carpenter St., Springfield, IL 62769 | 2006-07-27 |
| 1306129663 | Suartcha Prueksaritanond | Internal Medicine | 800 E Carpenter Street Hshs Medical Group Inc, Springfield, IL 62769-0001 | 2011-09-23 |
| 1114213188 | Tiffany Nicole Cavoretto | Dietitian, Registered | 800 E Capenter St, Springfield, IL 62769-0001 | 2011-06-28 |
| 1245416536 | Mary T Peter | Radiology | Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001 | 2008-01-16 |
| 1922282169 | Mary Anne Raab | Physical Therapist | St John's Hospital, 800 East Carpenter, Springfield, IL 62769-0001 | 2007-12-24 |
| 1407030745 | Joan Hildebrand | Speech-Language Pathologist | St John's Hospital Pedi Rehab, 800 E. Carpenter, Springfield, IL 62769-0001 | 2007-12-21 |
| 1265654164 | Nzeadibenma O Uzochukwu | Radiology | 800 Carpenter St, Springfield, IL 62769-0001 | 2007-05-02 |
| 1649499237 | Dennis Goldberg | Emergency Medicine | 800 E Carpenter St Emergency Dept, Springfield, IL 62769-0001 | 2007-04-24 |
| 1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
| 1558400358 | Simon Vladimir Bekker | Radiology | Springfield Radiologists S C, 800 East Carpenter Street, Springfield, IL 62769-0001 | 2007-02-06 |
| Find all providers in zip 62769 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1558740761 | Zarghoona Razi | General Acute Care Hospital | 6119 Greeley Blvd, Springfield, VA 22152-1831 | 2015-05-20 |
| 1821345729 | St, Mary's Hospital | General Acute Care Hospital | 409 N 13th St, Springfield, IL 62702-8422 | 2012-08-09 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1356629752 | University of Tennessee Health Science Center | General Acute Care Hospital | 4737 Lahr Rd, Springfield, TN 37172-7125 | 2011-08-02 |
| 1972675148 | Bharati S. Jhaveri | General Acute Care Hospital | 1312 Woods Farm Ln, Springfield, IL 62704-6545 | 2006-11-14 |
| 1316904014 | Mercy Health System Western Ohio | General Acute Care Hospital | 1 S Limestone St, Suite 700, Springfield, OH 45502-1293 | 2006-04-27 |
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1619331022 | Prospect Ccmc, LLC | General Acute Care Hospital | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2016-04-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.