ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD. (NPI# 1932432143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932432143 |
Entity Type | Organization |
Organization Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD. |
Practice Address |
1007 M L King Dr Ste 3 Centralia IL 62801-3001 |
Mailing Address |
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262 |
Practice Telephone | 6185450894 |
Practice Fax Number | 6185450914 |
Mailing Telephone | 6182423778 |
Mailing Fax Number | 6182422551 |
Enumeration Date | 2009-09-08 |
Last Update Date | 2016-10-27 |
Authorized Official Name | DR. JEAN BENOIT HOULE (PRESIDENT) |
Authorized Official Telephone | 6182423778 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE PIN | CN2166 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669943882 | Orthopaedic Center of Southern Illinois, Ltd. | Durable Medical Equipment & Medical Supplies | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2018-12-16 |
1134171226 | Orthopaedic Center of Southern Illinois, Ltd. | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-05-17 |
Street Address |
1007 M L KING DR STE 3 |
City | CENTRALIA |
State | IL |
Zip Code | 62801-3001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
Find all providers in zip 62801 |
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 |
---|---|---|---|---|
1487618351 | Narendra Kumar Gupta | Orthopaedic Surgery | 1054 Martin Luther King Drive, Suite 125, Centralia, IL 62801 | 2006-04-17 |
1639492994 | James B. Stiehl, Md, PC | Orthopaedic Surgery | 1054 Martin Luther King Dr, Suite 226, Centralia, IL 62801-3000 | 2010-03-01 |
1619197639 | Mark Morishige | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2007-05-01 |
1144332339 | Scott C Slattery | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
1689786873 | Justin J Sherfey | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
1083726269 | Keith V Anderson | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
1164534350 | Keith R Birchard | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-31 |
1689787103 | Washington Orthopaedic Center, Inc., Ps | Orthopaedic Surgery | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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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.