Jay Riseman Md Ltd
LBN: Jay Riseman Md Ltd
Jay Riseman Md Ltd is an health care organization with primary practice located at 2524 Farragut Dr Suite C, Springfield IL 62704-8400. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jay Riseman Md Ltd can be contacted via phone (217) 546-8711, or through Riseman, Jay A via phone (217) 629-8711.
Contact Information
Primary practice address
2524 Farragut Dr Suite C
Springfield IL 62704-8400
Phone: (217) 546-8711
Fax: (217) 546-8720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois | |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Illinois |
Profile Details
| NPI number | 1508982299 |
|---|---|
| LBN Legal business name | Jay Riseman Md Ltd |
| DBA Doing business as | |
| Authorized official | Riseman, Jay A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Oct 31st, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508982299 | NPPES |
| Illinois | Other | 148336 | HEALTHLINK NETWORK ID |
| Illinois | Other | 08400721 | HEALTHLINK NETWORK ID |
| Illinois | Other | 3001 | HEALTHLINK NETWORK ID |
| Illinois | Other | 087768 | HEALTHLINK NETWORK ID |
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