MR. ANDREW VANNATTA (NPI# 1134493042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134493042 |
| Entity Type | Individual |
| Full Name | MR. ANDREW VANNATTA |
| Credential | CO |
| Practice Address |
1303 W Evergreen Ave Suite 101 Effingham IL 62401-1619 |
| Practice Telephone | 2173423400 |
| Practice Fax Number | 2173423477 |
| Mailing Telephone | 2173423400 |
| Mailing Fax Number | 2173423477 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 213000290 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1303 W EVERGREEN AVE SUITE 101 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220243 | Thomas L. Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2005-10-21 |
| 1851891170 | Luke Ray Zumbahlen | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2018-02-13 |
| 1376051292 | Kayla R Deters | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2018-01-12 |
| 1932648318 | Jennifer Jean Hess | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2017-02-17 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1942554647 | Andrea G Furlong | Physician Assistant | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-11-01 |
| 1003189333 | Kristyn Margaret Rosenkoetter | Physical Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2012-02-16 |
| 1609152735 | Brock Wayne Athey | Physical Therapist | 1303 W Evergreen Ave, Biomax Ste 102, Effingham, IL 62401 | 2011-11-03 |
| 1548558950 | Nickolas A Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2011-07-19 |
| 1144531666 | Joseph M Ajdinovich | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140414 | Phoenix Rising Prosthetic Orthotic Service Pllc | Orthotist | 330 W Colfax St Ste 100, Palatine, IL 60067-2538 | 2020-03-25 |
| 1730724394 | Pr Orthotics & Ot LLC | Orthotist | 4711 Golf Rd Ste 1055, Skokie, IL 60076-1272 | 2019-11-07 |
| 1831691104 | Ashley Zinnamon | Orthotist | 1525 E 55th St Ste 204, Chicago, IL 60615-5512 | 2018-03-02 |
| 1194225227 | David B Rotter | Orthotist | 121 Springfield Ave Ste 4, Joliet, IL 60435-6545 | 2018-02-15 |
| 1336651264 | Sandra Jean Schechner | Orthotist | 302 W Rosalie Ln, Palatine, IL 60074-1065 | 2017-11-01 |
| 1356798896 | Rick Allen | Orthotist | 5929 East Riverside Blvd, Rockford, IL 61114-4937 | 2016-05-14 |
| 1124484381 | Hori S Singha | Orthotist | 649 Ridgeview Dr., Mchenry, IL 60050 | 2016-01-04 |
| 1881947091 | Woodfield Ortho Services, LLC | Orthotist | 2401 Kaneville Rd Ste 2, Geneva, IL 60134-2577 | 2012-10-25 |
| 1881964757 | Rinella Orthotics, Inc. | Orthotist | 1890 Silver Cross Blvd # 445, New Lenox, IL 60451-9508 | 2012-01-09 |
| 1306065958 | Erik James Lindholm | Orthotist | 1316 Black Rd, Joliet, IL 60435-3962 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ANDREW VANNATTA.
| 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.