Memorial Physician Services
NPI 1174877930ActiveOrganization· Family Medicine· Springfield, IL
Family Medicine in Springfield, Illinois, registered in NPPES in November 2012. The authorized official on file is James T. Dowell, Vice President, Mps. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174877930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2012 |
| Last updated in NPPES | Jun 11, 2020 |
| Certified by provider | Jun 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Counselor | 101Y00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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