FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC (NPI# 1184748600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184748600 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC |
| Practice Address |
615 N Promenade St Havana IL 62644-1243 |
| Mailing Address |
1515 W Walnut St Suite 12 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 |
| 1093839524 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 315 8th St, Lincoln, IL 62656-2671 | 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 |
615 N PROMENADE ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478782 | Mason Hospital District | Clinic/Center | 615 N Promenade St, Havana, IL 62644-1243 | 2006-04-21 |
| 1912418799 | Chase Holtman | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2017-10-19 |
| 1235674946 | Sarah Knake | Registered Nurse | 615 N Promenade St, Havana, IL 62644-1243 | 2017-01-04 |
| 1821472044 | Kathryn Fry | Nurse Practitioner | 615 N Promenade St, Havana, IL 62644-1243 | 2015-07-17 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| 1033524350 | Kayla R Miller | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1243 | 2014-06-25 |
| 1760811434 | Gail Behrends | Dietitian, Registered | 615 N Promenade St, Havana, IL 62644-1243 | 2013-11-04 |
| 1306180203 | Kristi A White | Occupational Therapist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-11-15 |
| 1528312626 | Mason District Hospital | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1243 | 2012-10-29 |
| 1467702985 | Megan Wilson | Specialist/Technologist | 615 N Promenade St, Havana, IL 62644-1243 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| 1366751331 | Robert Frank Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2010-09-24 |
| 1265663694 | Pam Herrick Counseling, S.c. | Counselor | 314 W Main St, Suite A, Havana, IL 62644-1140 | 2009-08-03 |
| Find all providers in zip 62644 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047234 | Pharmacy Investment Coordinators Inc | Durable Medical Equipment & Medical Supplies | 704 S Us Highway 27, Havana, FL 32333-2018 | 2005-07-21 |
| 1790172583 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 615 N Promenade St, Havana, IL 62644-1243 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
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| 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.