SPINE CONSULTANTS, LLC (NPI# 1639406440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639406440 |
| Entity Type | Organization |
| Organization Name | SPINE CONSULTANTS, LLC |
| Practice Address |
2514 Village Green Pl Champaign IL 61822-7675 |
| Practice Telephone | 7733212800 |
| Practice Fax Number | 7733212801 |
| Mailing Telephone | 7733212800 |
| Mailing Fax Number | 7733212801 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | THERESA CLERE (OFFICE MANAGER) |
| Authorized Official Telephone | 7733212810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036094206 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2514 VILLAGE GREEN PL |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-7675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1396254140 | The Carpal Tunnel Center LLC | Orthopaedic Surgery | 1605 S State St Ste 1a, Champaign, IL 61820-7231 | 2017-09-25 |
| 1932541927 | Muthana Sartawi | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2013-07-19 |
| 1073958740 | James Xiao Liu | Orthopaedic Surgery | 2300 S 1st St, Champaign, IL 61820-7661 | 2013-05-07 |
| 1750552881 | Denis A. Williams | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2008-03-17 |
| 1861692394 | Erick Makio Kawakita | Orthopaedic Surgery | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-07-23 |
| 1437352960 | Mark E Palermo | Orthopaedic Surgery | 1802 S Mattis Ave, Ortho, Champaign, IL 61821-5923 | 2007-06-11 |
| 1447327036 | David R Zeman | Orthopaedic Surgery | 2300 S 1st St, Champaign, IL 61820-7661 | 2006-11-29 |
| 1538175369 | Shawn L. Love | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2006-08-01 |
| 1134147200 | Kenneth J Dols | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-07-17 |
| 1578589834 | Scott V Kline | Orthopaedic Surgery | 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | 2006-07-13 |
| Find all providers in CHAMPAIGN | ||||
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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.