MOUNT SINAI HOSPITAL MEDICAL CENTER (NPI# 1750678934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750678934 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI HOSPITAL MEDICAL CENTER |
| Other Organization Name | PIONEER HOUSE |
| Practice Address |
812 S Western Ave Chicago IL 60612-4140 |
| Practice Telephone | 3126666897 |
| Mailing Telephone | 3126666897 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | KAREN C TEITELBAUM (EXECUTIVE VICE PRESIDENT/COO) |
| Authorized Official Telephone | 7732575332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0001644 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1639470867 | 05 | |
| IL | 1932496114 | 05 |
| Other Name | Type Code |
|---|---|
| Pioneer House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1447532882 | Mount Sinai Hospital Medical Center | Clinic/Center | California At 15th Street, Chicago, IL 60608-1704 | 2011-09-12 |
| 1932496114 | Mount Sinai Hospital Medical Center | Clinic/Center | 2750 W 15th Pl, Chicago, IL 60608-1704 | 2011-07-07 |
| 1639470867 | Mount Sinai Hospital Medical Center | Clinic/Center | 2124 W 21st Pl, Chicago, IL 60608-4010 | 2010-11-04 |
| 1659429900 | Mount Sinai Hospital Medical Center | Home Health | 2750 W 15th St, Kurtzon 10th Floor, Chicago, IL 60608-1610 | 2007-01-05 |
| 1871581314 | Mount Sinai Hospital Medical Center | General Acute Care Hospital | 2028 Paysphere Cir, Chicago, IL 60674-0020 | 2005-10-10 |
| 1942800602 | Mount Sinai Hospital Medical Center | Clinic/Center | 1414 S Fairfield Ave, Chicago, IL 60608 | 2020-10-30 |
| 1528668274 | Mount Sinai Hospital Medical Center | Clinic/Center | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-10-30 |
| 1114527462 | Mount Sinai Hospital Medical Center | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-27 |
| 1205207875 | Mount Sinai Hospital Medical Center | Physician Assistant | 5 E 98th St, Floor 2, New York, NY 10029-6501 | 2015-10-08 |
| Street Address |
812 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MOUNT SINAI HOSPITAL MEDICAL CENTER.
| 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.