FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC (NPI# 1619091147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619091147 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC |
| Practice Address |
640 W Washington St Pittsfield IL 62363-1350 |
| 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 |
| 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 |
| 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 |
| 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 |
640 W WASHINGTON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086218 | Blessingcare Corporation | General Acute Care Hospital | 640 W Washington St, Pittsfield, IL 62363-1350 | 2005-07-08 |
| 1912546326 | Chris Wassell | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2020-01-02 |
| 1104385335 | Ashley Renee Walker | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2019-03-18 |
| 1609335116 | Laura Hull | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2019-03-14 |
| 1568991206 | Ginger Torrez | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2017-06-07 |
| 1841736857 | Diana Lynette Roth | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2017-01-13 |
| 1497129415 | Sherri Renee White | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-11-16 |
| 1215324009 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-04-20 |
| 1639560410 | Lyndell L Lomax | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2015-02-14 |
| 1972908390 | Blessingcare Corporation | Social Worker | 640 W Washington St, Pittsfield, IL 62363-1350 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| 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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| 1437673159 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 506 Somerset Ave, Pittsfield, ME 04967-5763 | 2017-08-03 |
| 1154657104 | C Carlo Hair Express | Durable Medical Equipment & Medical Supplies | 1551 East Street, Pittsfield, MA 01201 | 2009-10-27 |
| 1861519555 | Berkshire Communicators, Inc | Durable Medical Equipment & Medical Supplies | 551 Fenn St, Pittsfield, MA 01201-5229 | 2007-03-26 |
| 1326191859 | Lymphedema Assoc of Maine | Durable Medical Equipment & Medical Supplies | 715 Higgins Road, Pittsfield, ME 04967-0522 | 2007-01-19 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1538230487 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 506 Somerset Avenue, Somerset Plaza, Pittsfield, ME 04967-5763 | 2006-11-13 |
| 1811071434 | Independent Mobility | Durable Medical Equipment & Medical Supplies | 453 North St, Pittsfield, MA 01201-4603 | 2006-10-24 |
| 1083714422 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 180 Elm Street, Pittsfield, MA 01201-6500 | 2006-09-25 |
| 1548360985 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 163 South Street, Pittsfield, MA 01201-6988 | 2006-09-25 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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.