JOEL R ANDERSON (NPI# 1952341505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952341505 |
Entity Type | Individual |
Full Name | JOEL R ANDERSON |
Credential | DPM |
Practice Address |
4920 N Central Ave Suite 1a Chicago IL 60630-2338 |
Practice Telephone | 8473587005 |
Practice Fax Number | 8473587065 |
Mailing Telephone | 8473587005 |
Mailing Fax Number | 8473587065 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2016-07-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 016004882 | IL | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.004882 | IL | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043668817 | Joel Justin Anderson | Nurse Practitioner | 2311 W Lincoln Ave, Fergus Falls, MN 56537-1064 | 2016-06-01 |
1649310293 | Joel W Anderson | Physical Therapist | 3326 177th Pl Ne, Arlington, WA 98223-8774 | 2007-02-06 |
1316905482 | Joel Fordyce Anderson | Physical Therapist | 113 4th Ave, Shell Lake, WI 54871-0300 | 2006-05-01 |
1639718018 | Joel Frank Anderson | Case Manager/Care Coordinator | 7813 Airline Dr Ste B, Metairie, LA 70003-6462 | 2020-01-02 |
1114147477 | Joel Brougher Anderson | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2007-04-27 |
1457443152 | Joel A Anderson | Physical Therapist | 11528 183rd Pl, Orland Park, IL 60467-9467 | 2006-09-29 |
1215995089 | Joel W Anderson | Emergency Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-05-02 |
Street Address |
4920 N CENTRAL AVE SUITE 1A |
City | CHICAGO |
State | IL |
Zip Code | 60630-2338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023065984 | Andrzej P Indyk | Family Medicine | 4920 N Central Ave, Suite 2b, Chicago, IL 60630 | 2006-05-27 |
1619382348 | Joel R Anderson PC | Podiatrist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2014-06-20 |
1447577994 | Fritzie Arenas Valera | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2010-04-23 |
1346571361 | Medical Integration Sc | Clinic/Center | 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | 2010-01-15 |
1881831733 | Mary Rose Ramos Alejo | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2009-01-14 |
1215116942 | Institute for Integrative Health and Wellness,s.c. | Clinic/Center | 4920 N Central Ave, 1a, Chicago, IL 60630-2338 | 2007-10-30 |
1407044225 | John G. Scaramella, M.d.,s.c. | Clinic/Center | 4920 N Central Ave, Suite 2b, Chicago, IL 60630-2338 | 2007-10-05 |
1396967550 | Joel R. Anderson, PC | Podiatrist | 4920 N Central Ave, Ste 1a, Chicago, IL 60630-2338 | 2007-05-03 |
1407971708 | Antonio E Bifero | Chiropractor | 4920 N Central Ave, Suite 1a, Chicago, IL 60630-2338 | 2007-03-19 |
1043340532 | Marlene Olaso Santos | Physical Therapist | 4920 N Central Ave, Chicago, IL 60630-2338 | 2007-03-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
Find all providers in zip 60630 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
Find all providers in CHICAGO |
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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.