ANDERSONTIERNAN, INC (NPI# 1720332455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720332455 |
| Entity Type | Organization |
| Organization Name | ANDERSONTIERNAN, INC |
| Other Organization Name | ADVANCED FOOT & ANKLE CENTERS OF ILLINOIS |
| Practice Address |
455 S Roselle Rd Suite 100 Schaumburg IL 60193-2971 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8479858380 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | DR. DANA M. WISBY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8479858380 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDERSONTIERNAN, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Foot & Ankle Centers of Illinois | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210673 | Andersontiernan, Inc | Non-Pharmacy Dispensing Site | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2012-10-25 |
| Street Address |
455 S ROSELLE RD SUITE 100 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455549 | Carey B Dachman Mdsc | Internal Medicine | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2005-11-23 |
| 1912518143 | Tracy Aneziris | Psychologist | 455 S Roselle Rd, Schaumburg, IL 60193-2971 | 2020-08-12 |
| 1518317320 | Northwest Suburban Pediatrics, S.c. | Pediatrics | 455 S Roselle Rd, Suite 209, Schaumburg, IL 60193-2971 | 2016-06-13 |
| 1831545995 | Subin M Jacob-george | Physician Assistant | 455 S Roselle Rd, 104, Schaumburg, IL 60193-2971 | 2016-05-09 |
| 1245584531 | Integrated Pain Therapy and Wellness Ltd | Physical Medicine & Rehabilitation | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2012-11-08 |
| 1447547211 | Northshore Integrative Healthcare | Psychologist | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2971 | 2011-06-30 |
| 1992091219 | Andersontiernan Inc | Podiatrist | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2011-06-24 |
| 1194024984 | Wajde Dabah | Anesthesiology | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2919 | 2011-03-20 |
| 1255669297 | Rana Dabah Amer | Physician Assistant | 455 S Roselle Rd, Ste 104, Schaumburg, IL 60193-2971 | 2009-12-03 |
| 1518104116 | Amy Alicia Yehoshua | Acupuncturist | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2971 | 2009-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710426796 | Wellness Institute of Illinois, Ltd | Non-Pharmacy Dispensing Site | 110 Hillcrest Blvd Suite 102, Schaumburg, IL 60195 | 2017-02-23 |
| 1891013306 | Premier Pain Specialists LLC | Non-Pharmacy Dispensing Site | 1365 Wiley Rd Ste 153, Schaumburg, IL 60173-4357 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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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.