HSHS HOLY FAMILY HOSPITAL, INC. (NPI# 1366718918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366718918 |
| Entity Type | Organization |
| Organization Name | HSHS HOLY FAMILY HOSPITAL, INC. |
| Other Organization Name | GREENVILLE OBSTETRICS AND GYNECOLOGY |
| Practice Address |
200 Healthcare Drive Ste 1501 Greenville IL 62246-1154 |
| Mailing Address |
150 Healthcare Drive Greenville IL 62246-1161 |
| Practice Telephone | 6186641230 |
| Practice Fax Number | 6186642424 |
| Mailing Telephone | 6186649830 |
| Mailing Fax Number | 6186649820 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MR. MARK ENNEN (CFO) |
| Authorized Official Telephone | 6186641230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0005355 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenville Obstetrics and Gynecology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253315 | Hshs Holy Family Hospital, Inc. | Internal Medicine | 200 Healthcare Dr, Ste 1501, Greenville, IL 62246-1154 | 2009-05-18 |
| 1649452046 | Hshs Holy Family Hospital, Inc. | Psychiatry & Neurology | 850 W Wall St, Mulberry Grove, IL 62262-1080 | 2007-11-28 |
| 1639486889 | Hshs Holy Family Hospital, Inc. | Surgery | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246-1154 | 2010-09-09 |
| 1760619746 | Hshs Holy Family Hospital, Inc. | Surgery | 1515 Main St, Highland, IL 62249-1656 | 2009-06-17 |
| 1720265879 | Hshs Holy Family Hospital, Inc. | Surgery | 200 Health Care Dr, Suite 1559, Greenville, IL 62246-1154 | 2008-01-30 |
| 1558433664 | Hshs Holy Family Hospital, Inc. | General Acute Care Hospital | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-11-14 |
| 1205842952 | Hshs Holy Family Hospital, Inc. | Psychiatry & Neurology | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-08-01 |
| 1558383968 | Hshs Holy Family Hospital, Inc. | Dietitian, Registered | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-24 |
| 1023058849 | Hshs Holy Family Hospital, Inc. | Skilled Nursing Facility | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HSHS HOLY FAMILY HOSPITAL, INC. | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Street Address |
200 HEALTHCARE DRIVE STE 1501 |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1639486889 | Hshs Holy Family Hospital, Inc. | Surgery | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246-1154 | 2010-09-09 |
| 1447402391 | Pathology Associates of Central Illi | Pathology | 200 Healthcare Drive, Greenville, IL 62246-1154 | 2008-10-22 |
| 1407049703 | Gabriel Anthony Gigliotti | Nurse Anesthetist, Certified Registered | 200 Healthcare Drive, Greenville Regional Hospital, Greenville, IL 62246-1523 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| 1770936692 | Bavithira Abivarshia Devasenathipathy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246 | 2016-07-15 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1073872594 | Brianna Whittemore | Obstetrics & Gynecology | 777 Lowndes Hill Rd, Greenville, SC 29607-2101 | 2012-05-04 |
| 1952692857 | Oussama Ahmad Saleh | Obstetrics & Gynecology | 1025 Spring Forest Rd, E6, Greenville, NC 27834-4986 | 2011-04-26 |
| 1184939670 | Samata Mcclure | Obstetrics & Gynecology | 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 | 2010-08-09 |
| 1528379054 | Rebecca Cori Rinko | Obstetrics & Gynecology | Bon Secours Urogynecology, 2 Innovation Drive, Ste 180, Greenville, SC 29607-5265 | 2010-06-30 |
| 1083940084 | Laurel Center for Women, LLC | Obstetrics & Gynecology | 10 Enterprise Blvd Ste 210, Greenville, SC 29615-3554 | 2009-10-26 |
| 1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
| 1588824916 | Edgar Smith Douglas II | Obstetrics & Gynecology | 204 Hampton Cir, Greenville, NC 27858-8936 | 2008-06-10 |
| 1689849119 | Jack A Mcneil | Obstetrics & Gynecology | 6 Orchard Pl, Greenville, MS 38701-8045 | 2008-04-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.