MEMORIAL PHYSICIAN SERVICES


Address: 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001
Phone: 8005775368

MEMORIAL PHYSICIAN SERVICES (NPI# 1275065906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275065906
Entity Type Organization
Organization Name MEMORIAL PHYSICIAN SERVICES
Other Organization Name MEMORIAL EXPRESSCARE
Practice Address 701 N 1st St
Mailbox 95
Springfield
IL 62781-0001
Practice Telephone 8005775368
Practice Fax Number 2177572021
Mailing Telephone 8005775368
Mailing Fax Number 2177572021
Enumeration Date 2017-03-31
Last Update Date 2017-03-31
Authorized Official Name JAMES T DOWELL (PRESIDENT MPS)
Authorized Official Telephone 2177577716
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Memorial ExpressCare Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316470651 Memorial Physician Services Internal Medicine 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 2017-04-04
1063961936 Memorial Physician Services General Acute Care Hospital 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 2016-10-03
1205180056 Memorial Physician Services Clinic/Center 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 2012-11-01
1174877930 Memorial Physician Services Nurse Practitioner 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 2012-11-01
1104179415 Memorial Physician Services Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2012-10-24
1558614867 Memorial Physician Services Clinic/Center 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 2012-10-24
1881947174 Memorial Physician Services Clinic/Center 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 2012-10-24
1790038099 Memorial Physician Services Clinic/Center 1 Centre Dr, Petersburg, IL 62675-9467 2012-10-24
1568715126 Memorial Physician Services Clinic/Center 515 N College St, Lincoln, IL 62656-1401 2012-10-19
1477614105 Memorial Physician Services Clinic/Center 515 N College St, Lincoln, IL 62656-1401 2006-12-13

Office Location

Street Address 701 N 1ST ST
MAILBOX 95
City SPRINGFIELD
State IL
Zip Code 62781-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607123 Memorial Home Services Home Health 701 N 1st St, Springfield, IL 62781-4952 2005-05-23
1316552524 Mary Ann Seagle Nurse Practitioner 701 N 1st St, Springfield, IL 62781-0001 2020-09-14
1497372361 Amir Mcphearson Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-26
1508482597 Kirsten Kay Carew Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-25
1699391482 Aruya Davis Registered Nurse 701 N 1st St, Springfield, IL 62781-0001 2020-06-17
1497370852 Alyssa Rose Jimerson Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-11
1649895038 Elisha Boyd Nurse Practitioner 701 N 1st St, Springfield, IL 62702-3757 2020-06-10
1275158990 Ashley L Mcgrath Nurse Anesthetist, Certified Registered 701 N 1st St, Springfield, IL 62781-0001 2020-06-09
1205451812 Christopher Evan Bejcek Orthopaedic Surgery 701 N 1st St, Springfield, IL 62702-3757 2020-06-09
1912521790 Neil Carter Parker Internal Medicine 701 N 1st St, Springfield, IL 62702-3757 2020-06-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104145747 Justin Neil Henry Hospitalist 701 N 1st St Rm B146, Springfield, IL 62781 2010-05-21
1457464208 Edward J Ryan Poje Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-16
1649285453 Sanjai Nagendra Pathology 701 N First Street, Springfield, IL 62781 2006-07-30
1770518706 Daniel L Stanton Jr. Radiology 701 N. First St, Springfield, IL 62781 2006-07-11
1497914741 Ted Robert Clark Emergency Medicine 701 N. 1st Street, Springfield, IL 62781 2008-06-03
1851486393 Joan Lewis Nurse Practitioner 701 N First St, Springfield, IL 62781 2006-10-03
1548363138 Pathology Associates of Central Illinois Ltd Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-09-07
1962511931 Chad Joseph Defrain Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-30
1346359320 Nassim Banisaeed Pathology 701 N First St, Memorial Medical Center, Springfield, IL 62781 2006-08-30
1922111772 John E Murphy Pathology 701 N First Street, Memorial Medical Center, Springfield, IL 62781 2006-08-16
Find all providers in zip 62781

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841802592 Community Health and Wellness Services, Inc. Family Medicine 312 Memorial Park Dr, Springfield, PA 19064-1714 2020-08-22
1649815796 180 Health Lifestyle Wellness Centers Family Medicine 1936 S Glenstone Ave, Springfield, MO 65804-2305 2019-11-13
1790337988 Aminat Ogun Family Medicine 520 N 4th St # 62702, Springfield, IL 62702-5238 2019-07-09
1770076622 Thomas John Schumann Family Medicine 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 2018-06-14
1134648959 Patricia Derges Family Medicine 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 2017-09-12
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1790215853 Vincent Marchese Family Medicine 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 2017-06-12
1184152100 Canaan Arceneaux Family Medicine 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 2017-06-03
1063943587 Cody Stark Rogers Family Medicine 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 2017-03-26
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62781

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Dataset Information

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.

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