PHILLIP DAVID NARCISSI (NPI# 1407816093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816093 |
| Entity Type | Individual |
| Full Name | PHILLIP DAVID NARCISSI |
| Credential | DPM |
| Practice Address |
19841 Wolf Rd Mokena IL 60448 |
| Mailing Address |
19841 Wolf Road Mokena IL 60448 |
| Practice Telephone | 7084790790 |
| Practice Fax Number | 7084790792 |
| Mailing Telephone | 7084790790 |
| Mailing Fax Number | 7084790792 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004628 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | 480035160 | 01 |
| IL | BCBS | 09904776 | 01 |
| Street Address |
19841 WOLF RD |
| City | MOKENA |
| State | IL |
| Zip Code | 60448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235457128 | Scott Bullard | Physical Therapist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2010-05-17 |
| 1588830913 | Phillip D. Narcissi Dpm S.c. | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2008-05-06 |
| 1659544799 | Johnny C Rossi | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2008-04-09 |
| 1508049826 | Mokena Foot &ankle Clinic | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2007-12-10 |
| 1801095765 | Gwen R Gola | Physical Therapist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2007-07-12 |
| 1487870085 | Michelle Louise Biel | Physical Therapist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2007-04-18 |
| 1558301754 | Bethany Lubacz | Physical Therapist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427583756 | Curt Joseph Martini Jr. | Podiatrist | 21346 Sage Brush Ln, Mokena, IL 60448-1486 | 2017-04-24 |
| 1811078207 | Haytham Mansour | Podiatrist | 19255 Everett Ln, Suite B, Mokena, IL 60448 | 2006-10-18 |
| 1740518307 | Hmi Foot and Ankle Group, Sc | Podiatrist | 19255 Everett Ln, Suite B, Mokena, IL 60448-8958 | 2009-11-19 |
| 1588830913 | Phillip D. Narcissi Dpm S.c. | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2008-05-06 |
| 1659544799 | Johnny C Rossi | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2008-04-09 |
| 1508049826 | Mokena Foot &ankle Clinic | Podiatrist | 19841 Wolf Rd, Mokena, IL 60448-1315 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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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.