FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC (NPI# 1093839524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093839524 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC |
| Practice Address |
315 8th St Lincoln IL 62656-2671 |
| Mailing Address |
1515 W Walnut St Jacksonville IL 62650-1150 |
| Practice Telephone | 2172431101 |
| Practice Fax Number | 2172435003 |
| Mailing Telephone | 2172431101 |
| Mailing Fax Number | 2172435003 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN FLEISCHLI (PRESIDENT) |
| Authorized Official Telephone | 2172431101 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP RAILROAD MEDICARE # | DA1788 | 01 |
| IL | BCBS | 06932011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528182052 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 238 S Congress St, Rushville, IL 62681-1465 | 2007-03-19 |
| 1477677995 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2007-03-19 |
| 1184748600 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2007-03-19 |
| 1700900230 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 2901 Old Jacksonville Rd, Suite G, Springfield, IL 62704-7437 | 2007-03-19 |
| 1619091147 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 640 W Washington St, Pittsfield, IL 62363-1350 | 2007-03-19 |
| 1033233739 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 100 W 15th St, Beardstown, IL 62618-1774 | 2007-03-19 |
| Street Address |
315 8TH ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824048 | Mary Jo Reynolds | Physical Therapist | 315 8th St, Lincoln, IL 62656-2671 | 2006-03-09 |
| 1053521724 | Annette Mae Harris | Occupational Therapist | 315 8th St, Lincoln, IL 62656-2671 | 2007-05-23 |
| 1467669465 | Kimberly Ann Heitzig | Physical Therapist | 315 8th St, Lincoln, IL 62656-2671 | 2007-05-17 |
| 1831107853 | Abraham Lincoln Memorial Hospital | General Acute Care Hospital | 315 8th St, Lincoln, IL 62656-2671 | 2006-08-04 |
| 1114971652 | Bruce Anderson Demont | Family Medicine | 315 8th St, Lincoln, IL 62656-2671 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1902422942 | Health Restoration Services, LLC. | Durable Medical Equipment & Medical Supplies | 5708 Elkcrest Dr, Lincoln, NE 68516-1440 | 2020-06-24 |
| 1174145528 | 2pair LLC | Durable Medical Equipment & Medical Supplies | 1101 S 70th St Ste 102, Lincoln, NE 68510-4293 | 2020-05-08 |
| 1093334211 | Ez-life Medical Solutions | Durable Medical Equipment & Medical Supplies | 1101 Arapahoe St Ste 102, Lincoln, NE 68502-4400 | 2020-04-09 |
| 1326606161 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 110 S Canopy St Ste A, Lincoln, NE 68508-3837 | 2019-06-05 |
| 1689231482 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3100 N 14th St Ste P, Lincoln, NE 68521-2134 | 2019-05-28 |
| 1922587427 | Lincoln Lakes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 150 W Broadway Ste 2, Lincoln, ME 04457-4003 | 2018-08-07 |
| 1770095440 | Cirrus Medical LLC | Durable Medical Equipment & Medical Supplies | 206 S 13th St Ste 775, Lincoln, NE 68508-2040 | 2017-11-02 |
| 1346781382 | Lincoln Medical Supplies | Durable Medical Equipment & Medical Supplies | 233 S 13th St Ste 1100, Lincoln, NE 68508-2003 | 2017-03-09 |
| 1730546847 | Audrey Ann Xavier | Durable Medical Equipment & Medical Supplies | 711 Sterling Pkwy, #100, Lincoln, CA 95648-7300 | 2016-01-20 |
| 1871966184 | Osie, Inc. | Durable Medical Equipment & Medical Supplies | 1221 N Cotner Blvd Ste 1, Lincoln, NE 68505-1879 | 2015-11-09 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC.
| 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.