ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
NPI 1912014564
General Acute Care Hospital in Chicago, IL


Hospital Overall Rating: 3 out of 5 stars

NPI Status: Active since August 23, 2006

Contact Information

836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 975-1600

Get Directions Reviews

  • Organization
  • General Acute Care Hospital
  • Accepts Insurance

About ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Advocate Illinois Masonic Medical Center is a hospital serving the Chicago, Illinois region. The facility is a general acute care hospital. The NPI number of this hospital is 1912014564 assigned on August 2006. The hospital's primary taxonomy code is 282N00000X with license number 282N00000X (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Advocate Illinois Masonic Medical Center. The authorized official of this NPI record is Kara Richardson (Vp Managed Health)

NPI
1912014564
Provider Legal Name
ADVOCATE NORTH SIDE HEALTH NETWORK
Other Organization Name
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
836 W WELLINGTON AVE CHICAGO, IL 60657
Location Phone
(773) 975-1600
Mailing Address
836 W WELLINGTON AVE CHICAGO, IL 60657
Mailing Phone
(773) 975-1600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
12-02-2024
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According to the Hospital Compare program data, Advocate Illinois Masonic Medical Center has average overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 3 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
282N00000X
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1273R00000XHospital Units

Psychiatric Unit

273R00000X (IL)
2273Y00000XHospital Units

Rehabilitation Unit

273Y00000X (IL)
3291U00000XLaboratories

Clinical Medical Laboratory

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KARA RICHARDSON

Authorized Official Title
VP MANAGED HEALTH
Authorized Official Phone
(704) 631-0450

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 3 out of 5 stars - Average

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Nurse Communication - 3 out of 5 stars - Average

    Nurse communication - star rating

  • Doctor Communication - 3 out of 5 stars - Average

    Doctor communication - star rating

  • Staff Responsiveness - 3 out of 5 stars - Average

    Staff responsiveness - star rating

  • Communication About Medicines - 3 out of 5 stars - Average

    Communication about medicines - star rating

  • Discharge Information - 4 out of 5 stars - Good

    Discharge information - star rating

  • Care Transition - 3 out of 5 stars - Average

    Care transition - star rating

  • Cleanliness - 2 out of 5 stars - Fair

    Cleanliness - star rating

  • Quietness - 2 out of 5 stars - Fair

    Quietness - star rating

  • Recommend Hospital - 3 out of 5 stars - Average

    Recommend hospital - star rating

  • Hospital Type Acute Care Hospitals - Voluntary non-profit - Private

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records: Y

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • Rate of complications for hip/knee replacement patients is number of cases too small

    Evaluation Period: July 2020 - March 2023

  • Death rate for heart attack patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for CABG surgery patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for stroke patients is better than the national rate

    Evaluation Period: July 2020 - June 2023

  • Pressure ulcer rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate among surgical inpatients with serious treatable complications is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative respiratory failure rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative sepsis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

Hospital Associated Infections Quality Ratings

  • Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Colon Surgery is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Abdominal Hysterectomy is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • MRSA Bacteremia is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Clostridium Difficile (C.Diff) is better than the national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Hospital return days for heart attack patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for pneumonia patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is worse than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

    Evaluation Period: January 2022 - December 2022

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for CABG is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after hip/knee replacement is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

  • Elective Delivery percentage is 0%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Emergency department volume is high

    Evaluation Period: January 2022 - December 2022

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 3%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 85%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 214 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 362 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 2 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is not available %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 97 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • ST-Segment Elevation Myocardial Infarction (STEMI) is 59

    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 11

    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 84 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is 96 %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is 89 %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 91

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 99 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is 100

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is not available

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is 97

    Evaluation Period: January 2023 - December 2023

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is 100

    Evaluation Period: January 2023 - December 2023

Reviews for ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912014564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922018512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 0 + 1 + 8 + 5 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1912014564 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073596904DR. WILLIAM NORMAN WERNER M.D., M.P.H.
Individual
Internal Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-5888
1598721011 SARAH JANE VALTER MD
Individual
Obstetrics & Gynecology836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-8945
1245282573MR. THOMAS ROBERT WHEELER III RPH
Individual
Pharmacist836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-8094
1457307555DR. TIMOTHY JAMES RITTENBERRY M.D.
Individual
Emergency Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7267
1285681759 MELANIE MCGRAW M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)836 W WELLINGTON AVE ROOM 3614
CHICAGO, IL 60657
(773) 296-7047
1205873106 WILLIAM CHARLES TOEPPER MD
Individual
Emergency Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7054
1396786844DR. RICHARD M FELDMAN M.D.
Individual
Emergency Medicine836 W WELLINGTON AVE EMERGENCY DEPARTMENT
CHICAGO, IL 60657
(773) 296-7054
1225079676 JULIE VARGA M.D.
Individual
Emergency Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7054
1396788006DR. BIKRAM SINGH DHILLON M.D.
Individual
Emergency Medicine836 W WELLINGTON AVE ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, EMERGENCY MED
CHICAGO, IL 60657
(773) 296-7054
1376588525 MICHELE MARIE MELLETT M.D.
Individual
Surgery (Surgical Critical Care)836 W WELLINGTON AVE TRAUMA OFFICE, 4318
CHICAGO, IL 60657
(773) 296-7033
1982640066 TULIKA SINGH MD
Individual
Emergency Medicine836 W WELLINGTON AVE DEPT OF EMERGENCY MEDICINE
CHICAGO, IL 60657
(773) 296-5878
1538105390CRETICOS ID ASSOCIATES SC
Organization
Internal Medicine (Infectious Disease)836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7039
1801826854 JAMES PATRICK DUNPHY M.D.
Individual
Internal Medicine836 W WELLINGTON AVE SUITE 7405
CHICAGO, IL 60657
(773) 296-7704
1316978240DR. MICHAEL ANTHONY CROMEANS M.D.
Individual
Emergency Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7054
1457383697DR. RICHARD JOSEPH FANTUS M.D.
Individual
Surgery (Surgical Critical Care)836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7033
1952333957DR. MARC HOMER DAHMAN M.D.
Individual
Surgery (Trauma Surgery)836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-5073
1124053673DR. ANDREW JAMES ARONSON M.D.
Individual
Pediatrics (Pediatric Nephrology)836 W WELLINGTON AVE DEPARTMENT OF PEDIATRICS SUITE 3612
CHICAGO, IL 60657
(773) 296-5625
1598780892DR. JOHN NEWCOMB SHEAGREN M.D.
Individual
Internal Medicine836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7084
1356368013DR. AMAYA LOPEZ BUSTINDUY M.D.
Individual
Pediatrics836 W WELLINGTON AVE ROOM 3612
CHICAGO, IL 60657
(773) 296-5673
1578582771DR. NESTOR ALFONSO RAMIREZ-LOPEZ MD, MPH
Individual
Pediatrics (Neonatal-Perinatal Medicine)836 W WELLINGTON AVE
CHICAGO, IL 60657
(773) 296-7458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912014564, enumerated in the NPI registry as an "organization" on August 23, 2006

The provider is located at 836 W Wellington Ave Chicago, Il 60657 and the phone number is (773) 975-1600

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The Overall Quality Rating for this hospital is 3 out of 5 stars which is average when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.

This hospital has affiliations with at least 602 health care professionals covering 31 different specialties including: Internal Medicine, Emergency Medicine, Nurse Anesthetist, Certified Registered, Orthopaedic Surgery, Nurse Practitioner, Radiology, Family Medicine, Surgery, Podiatrist, Anesthesiology, Urology, Pathology, Psychiatry & Neurology, Colon & Rectal Surgery, Neurological Surgery, Obstetrics & Gynecology, Physician Assistant, Ophthalmology, Student in an Organized Health Care Education/Training Program, Thoracic Surgery (Cardiothoracic Vascular Surgery), Physical Medicine & Rehabilitation, Otolaryngology, Advanced Practice Midwife, Specialist, Plastic Surgery, Hospitalist, Nuclear Medicine, Oral & Maxillofacial Surgery, Medical Genetics, Clinical Nurse Specialist and Allergy & Immunology.

This NPI record was last updated on August 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.