DR. WILLIAM LEONARD DEVAULT (NPI# 1215909718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215909718 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LEONARD DEVAULT |
| Credential | MD |
| Practice Address |
1000 N Allen St Robinson IL 62454-1114 |
| Practice Telephone | 6185461294 |
| Practice Fax Number | 6185462665 |
| Mailing Telephone | 6185461294 |
| Mailing Fax Number | 6185462665 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036145174 | IL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101043815 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 201301122 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC ID | 178HJ | 01 |
| NC | MEDICARE PTAN | NCD013A | 01 |
| VA | 1215909718 | 05 |
| Street Address |
1000 N ALLEN ST |
| City | ROBINSON |
| State | IL |
| Zip Code | 62454-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114137 | Preston S Reilly | Surgery | 1000 N Allen St, Robinson, IL 62454-1114 | 2005-06-15 |
| 1285276162 | Kristen Marie Walk | Nurse Practitioner | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-10-12 |
| 1669039871 | Katie Marie Aydt | Speech-Language Pathologist | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-05-22 |
| 1043874936 | Emily Anne Schutte | Dietitian, Registered | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-04-25 |
| 1063075711 | Devan Paige Beeman | Physical Therapy Assistant | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-04-18 |
| 1669035432 | Jody Carol Cannon | Occupational Therapy Assistant | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-04-17 |
| 1124581012 | Lacey Simpson | Physical Therapy Assistant | 1000 N Allen St, Robinson, IL 62454-1114 | 2019-04-09 |
| 1669944757 | Clinton Gebert | Nurse Anesthetist, Certified Registered | 1000 N Allen St, Robinson, IL 62454-1114 | 2018-12-30 |
| 1497263792 | Jenna Nicole Hardiman | Nurse Practitioner | 1000 N Allen St, Robinson, IL 62454-1114 | 2018-01-21 |
| 1598205676 | Sarah Bush Linocoln Health Center | Otolaryngology | 1000 N Allen St, Robinson, IL 62454-1114 | 2017-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437555687 | Jeffrey A. Veley Jr. | Hearing Instrument Specialist | 101 Court Street, Audibel Hearing Aids, Robinson, IL 62454 | 2014-11-17 |
| 1548677503 | Peggy Hamilton | Physical Therapy Assistant | 600 Robinwood Drive, Heritage Health, Therapy, and Senior Care, Robinson, IL 62454 | 2014-07-22 |
| 1447499678 | Judith Medsker | Counselor | 204 West Highland, Robinson, IL 62454 | 2009-02-11 |
| 1699939165 | Pat L Mcmillan | Dentist | 708 W Craft, Robinson, IL 62454 | 2008-07-15 |
| 1700064268 | South Eastern Illinois Counseling Center Inc | Case Management | 204a W. Highland, Robinson, IL 62454 | 2008-02-07 |
| 1831387687 | Rose M Agan | Counselor | 204a West Highland Ave., Robinson, IL 62454 | 2007-10-05 |
| 1376731125 | Brenda Wampler | Counselor | 204 W Highland Ave Ste A, Robinson, IL 62454 | 2007-10-05 |
| 1134315492 | Stephen M. Lathrop | Durable Medical Equipment & Medical Supplies | 1106 N. Allen St., Ste. A, Robinson, IL 62454 | 2007-09-20 |
| 1699893032 | David Alan Llewellyn | Dentist | 208 East Pine St, Robinson, IL 62454 | 2007-03-26 |
| 1457424632 | Tlc Foot Doc, Ltd | Podiatrist | 1000 N. Allen Street, Cmh-consulting Clinic, Robinson, IL 62454 | 2006-11-16 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356670756 | Feldman Occupatinal Health Services, Ltd | Orthopaedic Surgery | 1404 E Main St, Robinson, IL 62454-3731 | 2009-12-14 |
| 1750395851 | Paul R Goldhagen | Orthopaedic Surgery | 1000 N Allen St, Robinson, IL 62454-1114 | 2006-07-27 |
| 1578547428 | Pete D Stavrides | Orthopaedic Surgery | 1000 N Allen St, Robinson, IL 62454-1167 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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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.