ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD.


Address: 1007 M L King Dr Ste 3, Centralia, IL 62801-3001
Phone: 6185450894

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE PIN CN2166 01

Other Provider IDs and Locations

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

Office Location

Street Address 1007 M L KING DR STE 3
City CENTRALIA
State IL
Zip Code 62801-3001

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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