FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC


Address: 2901 Old Jacksonville Rd, Suite G, Springfield, IL 62704-7437
Phone: 2172431101

FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC (NPI# 1700900230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700900230
Entity Type Organization
Organization Name FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC
Practice Address 2901 Old Jacksonville Rd
Suite G
Springfield
IL 62704-7437
Mailing Address 1515 W Walnut St
Suite 12
Jacksonville
IL 62650-1150
Practice Telephone 2172431101
Practice Fax Number 2172435003
Mailing Telephone 2172431101
Mailing Fax Number 2172435003
Enumeration Date 2007-03-19
Last Update Date 2020-08-22
Authorized Official Name JOHN FLEISCHLI (PRESIDENT)
Authorized Official Telephone 2172431101
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 06932011 01
IL GROUP RAILROAD MEDICARE # DA1788 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528182052 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 238 S Congress St, Rushville, IL 62681-1465 2007-03-19
1477677995 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 2007-03-19
1184748600 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 615 N Promenade St, Havana, IL 62644-1243 2007-03-19
1093839524 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 315 8th St, Lincoln, IL 62656-2671 2007-03-19
1619091147 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 640 W Washington St, Pittsfield, IL 62363-1350 2007-03-19
1033233739 Foot and Ankle Associates of Central Illinois LLC Durable Medical Equipment & Medical Supplies 100 W 15th St, Beardstown, IL 62618-1774 2007-03-19

Office Location

Street Address 2901 OLD JACKSONVILLE RD
SUITE G
City SPRINGFIELD
State IL
Zip Code 62704-7437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467441550 Julio Cesar Vijil Sr. Surgery 2901 Old Jacksonville Rd, Suite B3, Springfield, IL 62704-7439 2005-10-20
1316591761 Shelby Kern Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2019-07-24
1609392091 Tamara Hardwick Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2017-08-17
1598217978 Amy J Welch Registered Nurse 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2016-11-01
1316399140 Neesha Settipalle Internal Medicine 2901 Old Jacksonville Rd, Springfield, IL 62704 2016-07-05
1508245028 Carly Ellison Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-05-29
1013395250 Gopinathan Gangadharan Nambiar Pediatrics 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-05-07
1467849257 Hshs Medical Group Inc Durable Medical Equipment & Medical Supplies 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-04-20
1225443484 Erin Blackburn Pediatrics 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2014-06-26
1801209291 Jieun Heo Family Medicine 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2014-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407646 Troutman Enterprises, LLC Durable Medical Equipment & Medical Supplies 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 2020-11-07
1497315493 Common Sleep, LLC Durable Medical Equipment & Medical Supplies 3246 S National Ave, Springfield, MO 65807-7303 2019-06-20
1649744467 Mednav, LLC Durable Medical Equipment & Medical Supplies 53 Linden Ln, Springfield, IL 62712-8928 2019-01-15
1871065839 Riverwood Medical Incorporated Durable Medical Equipment & Medical Supplies 7830 Backlick Rd Ste 100a, Springfield, VA 22150-2205 2018-12-31
1700358827 Darlan Medical Incorporated Durable Medical Equipment & Medical Supplies 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 2018-12-31
1912475484 Show Me Systems LLC Durable Medical Equipment & Medical Supplies 3755 N State Highway H, Springfield, MO 65803-7137 2018-11-02
1346727567 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2155 Main Street, Suite 131/133, Springfield, MA 01104 2018-07-20
1720570799 Walgreen Co Durable Medical Equipment & Medical Supplies 1150 N 5th St Ste B, Springfield, IL 62702-6366 2018-06-05
1386146405 Slocum Orthopedics, PC Durable Medical Equipment & Medical Supplies 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 2018-03-05
1326546045 Howard Datz Durable Medical Equipment & Medical Supplies 6880 Commercial Dr # 38, Springfield, VA 22151-4201 2018-01-28
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Competitor

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City SPRINGFIELD
Zip Code 62704

Improve Information

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Dataset Information

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.

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