ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC (NPI# 1760457204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760457204 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC |
| Practice Address |
3136 Old Jacksonville Rd Suite 250 Springfield IL 62704-6487 |
| Practice Telephone | 2178620500 |
| Mailing Telephone | 2178620500 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2010-01-11 |
| Authorized Official Name | KIM SCHULTZ (DIRECTOR) |
| Authorized Official Telephone | 2178620500 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7002306 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 007002306 | 05 | |
| IL | RR MEDICARE | 490004938 | 01 |
| Street Address |
3136 OLD JACKSONVILLE RD SUITE 250 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6487 |
| 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 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174089 | Arnold Surgery Center | Clinic/Center | 1011 E Montclair St, Springfield, MO 65807-5075 | 2007-01-29 |
| 1912963810 | Springfield Surgery Center Lp | Clinic/Center | 2685 E High St, Springfield, OH 45505-1412 | 2006-04-21 |
| 1073588448 | Surgery Center of Springfield | Clinic/Center | 1350 E Woodhurst Dr, Springfield, MO 65804-4281 | 2006-02-21 |
| 1427028919 | Cascade Endoscopy Center, LLC | Clinic/Center | 1007 Harlow Road, Suite 110, Springfield, OR 97477 | 2006-01-25 |
| 1205810553 | Orthopaedic Asc of Springfield LLC | Clinic/Center | 3045 S National Ave, Suite 101, Springfield, MO 65804-4247 | 2005-11-30 |
| 1578551594 | Mercy Surgery Center, Ltd | Clinic/Center | 2610 N Limestone St, Springfield, OH 45503-1114 | 2005-10-13 |
| 1366449910 | Oregon Endoscopy Center, LLC | Clinic/Center | 3355 Riverbend Dr, Suite 510, Springfield, OR 97477-8800 | 2005-06-28 |
| 1588667208 | Bradford Place Surgery and Laser Center LLC | Clinic/Center | 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539 | 2005-05-27 |
| 1295738375 | Oregon Surgicenter LLC | Clinic/Center | 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 | 2005-05-23 |
| 1518300102 | Springfield Surgery Center, LLC | Clinic/Center | 105 Morris Ave, 1st Floor, Springfield, NJ 07081-1395 | 2013-04-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC.
| 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.