Passavant Physician Association
NPI 1962689307 · Multi-Specialty Clinic/Center · Jacksonville, IL
Passavant Physician Association is a Multi-Specialty Clinic/Center organization in Jacksonville, IL (NPI 1962689307).
Provider details
- NPI number
- 1962689307
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendi Graham, Practice Plan Administrator(217) 479-5663
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2018-03-21
Frequently asked questions
- What is Passavant Physician Association's NPI number?
- Passavant Physician Association's National Provider Identifier (NPI) is 1962689307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passavant Physician Association?
- Passavant Physician Association is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Passavant Physician Association located?
- Passavant Physician Association's practice location on file with NPPES is 1600 W Walnut St, Jacksonville, IL 62650-1136.
- What is Passavant Physician Association's phone number?
- The practice phone number listed in the NPPES registry for Passavant Physician Association is (217) 479-5890.
- Who is the authorized official for Passavant Physician Association?
- The authorized official listed on Passavant Physician Association's NPPES record is Wendi Graham, Practice Plan Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passavant Physician Association's NPI active?
- Yes — Passavant Physician Association's NPI (1962689307) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.