THOMAS H. NOLEN, D.P.M.,P.C. (NPI# 1073683637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073683637 |
| Entity Type | Organization |
| Organization Name | THOMAS H. NOLEN, D.P.M.,P.C. |
| Practice Address |
624 W Main St Salem IL 62881-1403 |
| Practice Telephone | 6185480057 |
| Practice Fax Number | 6185489611 |
| Mailing Telephone | 6185480057 |
| Mailing Fax Number | 6185489611 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DR. THOMAS H. NOLEN (PRESIDENT) |
| Authorized Official Telephone | 6185480057 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004182 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS / BLUE SHIELD OF ILLINOIS | 6106002 | 01 |
| IL | BLUE CROSS / BLUE SHIELD OF ILLINOIS | 6106004 | 01 |
| IL | BLUE CROSS / BLUE SHIELD OF ILLINOIS | 60115194 | 01 |
| IL | 016004182 | 05 |
| Street Address |
624 W MAIN ST |
| City | SALEM |
| State | IL |
| Zip Code | 62881-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602718 | Thomas H. Nolen | Podiatrist | 624 W Main St, Salem, IL 62881-1403 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497918585 | Robert Tyson Scott | Podiatrist | 800 Liberty St Se, Salem, OR 97302 | 2008-07-08 |
| 1952589996 | Brooke Robert Beckmann | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2008-02-01 |
| 1407933732 | Podiatric Healthcare, P.C. | Podiatrist | 9 Warren Ct, Salem, MA 01970-3163 | 2006-11-01 |
| 1932213899 | Gregory M Van Ess | Podiatrist | 9 Warren Court, Salem, MA 01970-3168 | 2006-08-18 |
| 1386641231 | Richard Peffley II | Podiatrist | 350 Miller St Se, Salem, OR 97302-4248 | 2005-07-07 |
| 1720643018 | Salem Foot & Ankle Specialists Inc | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2019-05-02 |
| 1548790637 | Karen Elaine Uchmanowicz | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2017-06-13 |
| 1114323516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2014-11-12 |
| 1477969806 | Jeremy Brouillette | Podiatrist | 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153-6404 | 2014-07-07 |
| 1962745836 | Lee J. Poston | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2013-03-29 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on THOMAS H. NOLEN, D.P.M.,P.C..
| 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.