HSHS MEDICAL GROUP (NPI# 1265752844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265752844 |
| Entity Type | Organization |
| Organization Name | HSHS MEDICAL GROUP |
| Practice Address |
1900 E Lake Shore Dr Ste 330 Suite 330 Decatur IL 62521-3848 |
| Practice Telephone | 2174232889 |
| Mailing Telephone | 2174232889 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | DR. RICHARD ROLSTAN (PRESIDENT &CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2175234747 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
036125483 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528393410 | Hshs Medical Group | Specialist | 1520 9th St, Highland, IL 62249-1677 | 2009-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HSHS MEDICAL GROUP, INC. | 3051 Hollis Dr # 200, Springfield, IL 62704-7452 |
| Street Address |
1900 E LAKE SHORE DR STE 330 SUITE 330 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831518539 | Anita Gupta | General Acute Care Hospital | 225 East Chicago Avenue Box -152, Chicago, IL 60611-2605 | 2014-04-09 |
| 1073855623 | The University of Chicagp | General Acute Care Hospital | 5841 S Maryland Ave Mc6082, University of Chicago, Chicago, IL 60637-1419 | 2013-03-21 |
| 1699020370 | Gregory Hansen | General Acute Care Hospital | 225 E. Chicago Avenue, Box 51, Division of Neurology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2012-07-18 |
| 1831472380 | Advocate Hope Children's Hospital | General Acute Care Hospital | 10515 Lexington Ln., Frankfort, IL 60423-2209 | 2011-09-21 |
| 1285946293 | Mt. Sinai Hospital | General Acute Care Hospital | 15 California Ave., F 444, Chicago, IL 60608-3640 | 2010-07-07 |
| 1326288465 | Harvey Buchman | General Acute Care Hospital | 1125 N Bluebonnet Ln, Hoffman Estates, IL 60169-4430 | 2009-03-03 |
| 1801058086 | Children's Memorial Hospital | General Acute Care Hospital | 1250 S Michigan Ave Apt 810, Chicago, IL 60605-3268 | 2008-06-27 |
| 1659545986 | Mount Sinai Medical Center | General Acute Care Hospital | 5030 N Ridgeway Ave Unit 2, Chicago, IL 60625-6022 | 2008-04-17 |
| 1619021359 | Childrens Memorial Hospital | General Acute Care Hospital | 2731 Harrison St, Evanston, IL 60201-1215 | 2007-01-22 |
| 1124099098 | Memorial Medical Center | General Acute Care Hospital | 701 N !st St, Mab 528, Springfield, IL 62781-0001 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
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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.