FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC (NPI# 1700900230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700900230 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC |
| Practice Address |
2901 Old Jacksonville Rd Suite G Springfield IL 62704-7437 |
| 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 | BCBS | 06932011 | 01 |
| IL | GROUP RAILROAD MEDICARE # | DA1788 | 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 |
| 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 |
2901 OLD JACKSONVILLE RD SUITE G |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-7437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441550 | Julio Cesar Vijil Sr. | Surgery | 2901 Old Jacksonville Rd, Suite B3, Springfield, IL 62704-7439 | 2005-10-20 |
| 1316591761 | Shelby Kern | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2019-07-24 |
| 1609392091 | Tamara Hardwick | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2017-08-17 |
| 1598217978 | Amy J Welch | Registered Nurse | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2016-11-01 |
| 1316399140 | Neesha Settipalle | Internal Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704 | 2016-07-05 |
| 1508245028 | Carly Ellison | Nurse Practitioner | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-05-29 |
| 1013395250 | Gopinathan Gangadharan Nambiar | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-05-07 |
| 1467849257 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2015-04-20 |
| 1225443484 | Erin Blackburn | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-26 |
| 1801209291 | Jieun Heo | Family Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| 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 |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1497315493 | Common Sleep, LLC | Durable Medical Equipment & Medical Supplies | 3246 S National Ave, Springfield, MO 65807-7303 | 2019-06-20 |
| 1649744467 | Mednav, LLC | Durable Medical Equipment & Medical Supplies | 53 Linden Ln, Springfield, IL 62712-8928 | 2019-01-15 |
| 1871065839 | Riverwood Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100a, Springfield, VA 22150-2205 | 2018-12-31 |
| 1700358827 | Darlan Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 | 2018-12-31 |
| 1912475484 | Show Me Systems LLC | Durable Medical Equipment & Medical Supplies | 3755 N State Highway H, Springfield, MO 65803-7137 | 2018-11-02 |
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1720570799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1150 N 5th St Ste B, Springfield, IL 62702-6366 | 2018-06-05 |
| 1386146405 | Slocum Orthopedics, PC | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 | 2018-03-05 |
| 1326546045 | Howard Datz | Durable Medical Equipment & Medical Supplies | 6880 Commercial Dr # 38, Springfield, VA 22151-4201 | 2018-01-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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.