CENTER FOR FOOT AND ANKLE SURGERY LTD (NPI# 1154498194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154498194 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FOOT AND ANKLE SURGERY LTD |
| Practice Address |
1802 Division St Ste 305 Morris IL 60450 |
| Mailing Address |
654 W Veterans Pkwy Ste D Yorkville IL 60560-4567 |
| Practice Telephone | 8159429050 |
| Practice Fax Number | 8159429051 |
| Mailing Telephone | 6305539300 |
| Mailing Fax Number | 6305539306 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | PAUL STEPHAN BISHOP (VICE PRESIDENT OWNER) |
| Authorized Official Telephone | 6305539300 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
IL16004810 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1316438799 | Center for Foot and Ankle Surgery Ltd | Physical Therapist | 654 W Veterans Pkwy Ste C, Yorkville, IL 60560-2510 | 2018-05-22 |
| 1912549650 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste C, Yorkville, IL 60560-2510 | 2019-10-15 |
| Street Address |
1802 DIVISION ST STE 305 |
| City | MORRIS |
| State | IL |
| Zip Code | 60450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538100151 | Brenene Marie Brady | Audiologist | 1802 Division St, Suite # 509, Morris, IL 60450-1182 | 2006-06-08 |
| 1891096954 | Amanda B Rockey | Counselor | 1802 Division St, Suite 604, Morris, IL 60450-1182 | 2010-11-05 |
| 1235458761 | David J.casper,od. | Optometrist | 1802 Division St, Suite303, Morris, IL 60450-1182 | 2010-05-24 |
| 1568647634 | Blanco Kays Eyecare, LLC | Optometrist | 1802 Division St, Suite 205, Morris, IL 60450-1182 | 2008-01-08 |
| 1699895201 | Conrod Chiropractic Clinic Ltd. | Chiropractor | 1802 Division St, Suite 211, Morris, IL 60450-1182 | 2007-03-29 |
| 1598894313 | Mark Andrew Conrod | Chiropractor | 1802 Division St, Suite211, Morris, IL 60450-1182 | 2007-03-05 |
| 1053465732 | Nanette Teausant-taller | Social Worker | 1802 Division St, Suite 310, Morris, IL 60450-1182 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780971598 | Kyle T Pearson | Podiatrist | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2011-06-30 |
| 1376681494 | Renee Marie Reichert | Podiatrist | 1051 W Us Route 6, Suite 100, Morris, IL 60450-3349 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 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 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| 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.