MCNIERNEY PODIATRY, P.C. (NPI# 1386831287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386831287 |
| Entity Type | Organization |
| Organization Name | MCNIERNEY PODIATRY, P.C. |
| Practice Address |
209 Woodbine Dr Elwood IL 60421-6029 |
| Practice Telephone | 8156009780 |
| Mailing Telephone | 8156009780 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. WILLIAM FRANCIS MCNIERNEY JR. (OWNER) |
| Authorized Official Telephone | 8156009780 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | P00333439 | 01 |
| IL | 016004055 | 05 |
| Street Address |
209 WOODBINE DR |
| City | ELWOOD |
| State | IL |
| Zip Code | 60421-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963010 | William Francis Mcnierney Jr. | Podiatrist | 209 Woodbine Dr, Elwood, IL 60421-6029 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090112 | Donna Lee Lyle | Registered Nurse | 1 Shadynook Unit C, Elwood, IL 60421 | 2017-08-25 |
| 1750716338 | Dana Louise Pich | Developmental Therapist | 940 Meadowbrook Rd, Elwood, IL 60421-6067 | 2013-09-13 |
| 1952459034 | Kimberly Zbella | Specialist/Technologist | 26453 Center Point Dr, Elwood, IL 60421-6112 | 2007-01-08 |
| 1235144734 | Elwood Fire Protection District | Ambulance | 309 W Mississippi St, Elwood, IL 60421-9211 | 2006-07-31 |
| 1154590784 | Trinity Services Inc. | Clinic/Center | 17150 W Hoff Rd, Elwood, IL 60421-9440 | 2008-02-28 |
| 1386813053 | Trinity Services Inc. | Clinic/Center | 17154 W Hoff Rd, Elwood, IL 60421-9440 | 2008-02-26 |
| 1275187619 | Michael David Geraci | Social Worker | 17154 W Hoff Rd, Elwood, IL 60421-9440 | 2019-07-24 |
| 1386901247 | Tyler Donald Demers | Psychologist | 17154 W Hoff Rd, Elwood, IL 60421-9440 | 2012-04-17 |
| 1215427570 | Holly Ann Kavanaugh | Behavior Technician | 301 W Mississippi Ave, Elwood, IL 60421-9464 | 2018-05-12 |
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558703298 | Audey Nasser | Podiatrist | 1475 E Belvidere Rd Ste 202, Grayslake, IL 60030-2015 | 2013-07-23 |
| 1588008692 | Podiatry Care, Inc | Podiatrist | 832 Old Checker Rd, Buffalo Grove, IL 60089-1689 | 2013-04-19 |
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1679760821 | Foot and Ankle Inc | Podiatrist | 14539 S Stirrup Ct, Homer Glen, IL 60491-9297 | 2007-10-02 |
| 1255548202 | Dr. Robert L. Baron | Podiatrist | 60 Main St., Suite A, Oswego, IL 60543-8594 | 2007-05-17 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1841310760 | Jeffrey Garrard | Podiatrist | 6225 Dempster St, Morton Grove, IL 60053-2818 | 2007-04-02 |
| 1255468054 | Michael Anthony Walsh | Podiatrist | 9806 Grand Ave, Franklin Park, IL 60131-2679 | 2007-02-27 |
| 1659407781 | Martin Bruce Nead | Podiatrist | 1014 E St, Charleston, IL 61920-2524 | 2007-02-25 |
| 1821123977 | Brian J Reilly | Podiatrist | 2402 E Oakland Ave, Suite 5, Bloomington, IL 61701-5828 | 2007-02-22 |
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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.