TWIN CITIES MEDICAL EQUIPMENT LLC (NPI# 1750892766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750892766 |
Entity Type | Organization |
Organization Name | TWIN CITIES MEDICAL EQUIPMENT LLC |
Practice Address |
1111 Trinity Ln Bloomington IL 61704-8111 |
Mailing Address |
3107 Fiona Way Bloomington IL 61704-7011 |
Practice Telephone | 3096636461 |
Mailing Telephone | 3098250797 |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-10-17 |
Authorized Official Name | DR. JOSEPH NEWCOMER (MEMBER) |
Authorized Official Telephone | 3098250797 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036078056 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1111 TRINITY LN |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-8111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669471769 | Krista J. Sheppard | Physical Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2005-07-20 |
1376168005 | Kory David Tieman | Physical Therapist | 1111 Trinity Ln, Bloomington, IL 61704-8111 | 2020-06-09 |
1558800656 | Darren M Sawyer | Nurse Practitioner | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-02-22 |
1053850495 | Alissa Recker | Physical Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-02-17 |
1669918009 | Bloomington Medical Distribution LLC | Durable Medical Equipment & Medical Supplies | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-01-09 |
1255710885 | Christopher Mygatt | Physician Assistant | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2015-05-28 |
1801224605 | Alex W Frantz | Physician Assistant | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2013-10-15 |
1659546422 | Holly D Wickenhauser | Specialist/Technologist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2008-04-23 |
1720279409 | Kimberly A. Keller | Occupational Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2007-08-07 |
1235258260 | Charles Lewis Rogers | Specialist/Technologist, Other | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2007-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215197793 | Ryan T Morgan | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2008-06-10 |
1740331263 | Gregory M Fox | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-12 |
1154364669 | Jeffrey J Mair | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 61704 |
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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.