HSHS MEDICAL GROUP INC (NPI# 1962644807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962644807 |
| Entity Type | Organization |
| Organization Name | HSHS MEDICAL GROUP INC |
| Practice Address |
3051 Hollis Dr Springfield IL 62704-7450 |
| Practice Telephone | 2175235406 |
| Practice Fax Number | 2174929643 |
| Mailing Telephone | 2175235406 |
| Mailing Fax Number | 2174929643 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | MELINDA CLARK (CEO) |
| Authorized Official Telephone | 2175235406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1952798746 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1603 W Washington St, Springfield, IL 62702-4757 | 2015-04-20 |
| 1851536296 | Hshs Medical Group Inc | Clinic/Center | 12860 Troxler Avenue, Highland, IL 62249-2806 | 2008-12-15 |
| 1801953476 | Hshs Medical Group Inc | Clinic/Center | 130 N. Broadway, Table Grove, IL 61482-0144 | 2007-01-03 |
| 1417906959 | Hshs Medical Group Inc | Clinic/Center | 1220 E. Tremont, Suite A, Hillsboro, IL 62049-1509 | 2006-05-10 |
| 1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
| 1265904486 | Hshs Medical Group Inc | Clinic/Center | 900 W Temple Ave Ste 1500, Effingham, IL 62401-2121 | 2018-12-28 |
| 1265819379 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3631 S 6th St, Springfield, IL 62703-4777 | 2015-04-28 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| 1528455318 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 100 W 15th St, Beardstown, IL 62618-1774 | 2015-04-20 |
| Street Address |
3051 HOLLIS DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1972030740 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-05-11 |
| 1336417724 | Acupuncture & Chiropractic Center | Clinic/Center | 716 S 2nd St, Springfield, IL 62704-2516 | 2011-12-13 |
| 1386661148 | Springfield Medical Associates, Inc | Clinic/Center | 2150 Main St, Springfield, MA 01104-3300 | 2006-07-17 |
| 1740223874 | Peacehealth | Clinic/Center | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2006-06-14 |
| 1215974415 | Springfield Clinic LLP | Clinic/Center | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-31 |
| 1780638478 | Springfield Clinic, LLP | Clinic/Center | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-19 |
| 1326099383 | Ferrell Duncan Clinic, Inc | Clinic/Center | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-05-15 |
| 1417922964 | Memorial Physician Services | Clinic/Center | 701 N 1st St, Springfield, IL 62781-0001 | 2006-02-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on HSHS MEDICAL GROUP INC.
| 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.