MIDWEST REGIONAL NEONATOLOGY ASSOCIATES, LLC
NPI 1609937127
Pediatrics - Neonatal-Perinatal Medicine in Carbondale, IL

Q: What is Midwest Regional Neonatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since December 12, 2006

405 W JACKSON ST, CARBONDALE, IL 62901(618) 543-0721(618) 457-4735 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Midwest Regional Neonatology Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST REGIONAL NEONATOLOGY ASSOCIATES, LLC (NPI 1609937127) is a healthcare organization registered as a neonatal-perinatal medicine in Carbondale, Illinois and active in the NPI registry since December 2006. The organization lists Rebecca G Bolen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609937127

Entity TypeOrganization

Primary Taxonomy2080N0001X

Legal Business NameMIDWEST REGIONAL NEONATOLOGY ASSOCIATES, LLC

Location Address405 W JACKSON STCarbondale, IL 62901-1462

Mailing Address1809 W Main St, #306Carbondale, IL 62901-2123 · (618) 549-8464 · Fax (618) 457-4735

Phone(618) 543-0721

Fax(618) 457-4735

Organization SubpartNo

Authorized OfficialRebecca G BolenOffice Manager · (618) 549-8464

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609937127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IL · 36112572IL

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

405 W JACKSON ST, Carbondale, IL 62901

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Other Identifiers 1

Other03932033IL · Blue Cross Blue Sheild

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. NICOLE A JOHNSON PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Regional Neonatology Associates, LLC's NPI number?

The NPI number for Midwest Regional Neonatology Associates, LLC is 1609937127. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Midwest Regional Neonatology Associates, LLC located?

Midwest Regional Neonatology Associates, LLC is located at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 543-0721.

What is Midwest Regional Neonatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Midwest Regional Neonatology Associates, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.