R&R 1 LLC (NPI# 1962815340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962815340 |
| Entity Type | Organization |
| Organization Name | R&R 1 LLC |
| Practice Address |
2071 Goose Lake Rd Sauget IL 62206-2822 |
| Mailing Address |
9272 Caddyshack Cir Saint Louis MO 63127-1932 |
| Practice Telephone | 6188572634 |
| Mailing Telephone | 3147187276 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | MATTHEW BRADLEY (OWNER) |
| Authorized Official Telephone | 3147187276 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036127269 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622566 | R&r 1 LLC | Orthopaedic Surgery | 9272 Caddyshack Cir, Saint Louis, MO 63127-1932 | 2014-06-02 |
| Street Address |
2071 GOOSE LAKE RD |
| City | SAUGET |
| State | IL |
| Zip Code | 62206-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467482968 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 2006-07-03 |
| 1083162432 | Southern Illinois Healthcare Foundation, Inc. | Internal Medicine | 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 2016-09-14 |
| 1972727022 | Michael Riley Jr. | Physical Therapist | 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 2007-04-12 |
| 1205816105 | Randy G Johnson | Internal Medicine | 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015456 | William H Thom | Anesthesiology | 12 Wolf Creek, Suite 200, Swansea, IL 62206 | 2005-12-29 |
| 1891784823 | Steven G Connors | Chiropractor | 1518 Camp Jackson Rd, Cahokia, IL 62206 | 2005-10-21 |
| 1558661454 | David J Cruse Jr. | Pharmacist | 1615 Camp Jackson Rd, Cahokia, IL 62206 | 2010-10-25 |
| 1477866671 | Ca Group LLC | Internal Medicine | 4043 Mississippi Ave, Cahokia, IL 62206-1041 | 2010-07-16 |
| 1396871794 | Cahokia Pharmacy Inc | Pharmacy | 817 Upper Cahokia Rd, Cahokia, IL 62206-1211 | 2007-02-27 |
| 1578629945 | Rosa M. Prouhet | Registered Nurse | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1518391739 | Sarah Rahman | Physician Assistant | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2013-08-23 |
| 1902963028 | Southern Illinois Healthcare Foundation, Inc. | Nurse Practitioner | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2007-01-02 |
| 1427114891 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1649797838 | Marcia Ann Young | Behavior Technician | 17 Kinder St, Cahokia, IL 62206-1334 | 2017-08-28 |
| Find all providers in zip 62206 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901799 | Kevin Christopher Bigart | Orthopaedic Surgery | 688 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2013-06-10 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1699909887 | Anand Srinivasan | Orthopaedic Surgery | 2850 Ridge Ave, Ste 880, Evanston, IL 60201 | 2009-05-04 |
| 1114184058 | Denis Nam | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2008-05-19 |
| 1376610634 | Gregg Michael Moga | Orthopaedic Surgery | 6025 Pebble Creek Ct, Gurnee, IL 60031-4722 | 2006-11-29 |
| 1134233299 | Raymond Donald Santucci | Orthopaedic Surgery | 5n467 Curling Pond Rd # 533, Wayne, IL 60184-2226 | 2006-08-18 |
| 1407835135 | Wayne Paprosky | Orthopaedic Surgery | 25 North Winfield Rd, Winfield, IL 60190 | 2006-01-11 |
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
| Find all providers with the same taxonomy | ||||
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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.