FOOT SURGERY CENTER LLC (NPI# 1770615148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770615148 |
| Entity Type | Organization |
| Organization Name | FOOT SURGERY CENTER LLC |
| Practice Address |
4901 W Main St Belleville IL 62226-4724 |
| Practice Telephone | 6182221986 |
| Practice Fax Number | 6182221898 |
| Mailing Telephone | 6182221986 |
| Mailing Fax Number | 6182221898 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | VICTOR LEWIS HORSLEY (OWNER) |
| Authorized Official Telephone | 6182226866 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.004072 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
4901 W MAIN ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1740690874 | Advance Foot Care, LLC | Podiatrist | 192 Branch Brook Dr, Belleville, NJ 07109-3607 | 2014-04-28 |
| 1811078884 | Wendy K. Stinson Dpm | Podiatrist | 286 Union Ave, Lower Level, Belleville, NJ 07109-2053 | 2006-10-18 |
| 1699889535 | John Cozzarelli | Podiatrist | 155 Belleville Ave, Belleville, NJ 07109-2407 | 2006-08-18 |
| 1699715094 | Victor L Horsley | Podiatrist | 4901 West Main, Belleville, IL 62226 | 2006-06-07 |
| 1316398613 | Annette Buron | Podiatrist | 155 Belleville Ave, Belleville, NJ 07109-2407 | 2016-06-28 |
| 1649620634 | Neil Ermitano | Podiatrist | 2900 Frank Scott Pkwy W Ste 900, Belleville, IL 62223-5000 | 2016-06-21 |
| 1740653591 | Associated Foot Surgeons of Southwest Illinois, Ltd. | Podiatrist | 2900 Frank Scott Pkwy W, Ste 900, Belleville, IL 62223-5000 | 2015-11-02 |
| 1114289121 | Amanda M Hart | Podiatrist | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 | 2012-06-14 |
| 1710147236 | Jeffrey S Boberg Dpm LLC | Podiatrist | 180 S 3rd St, Ste 103, Belleville, IL 62220-1952 | 2008-06-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
Please comment or provide details below to improve the information on FOOT SURGERY CENTER 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.