FAMILY FOOT CARE PC (NPI# 1932208915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932208915 |
Entity Type | Organization |
Organization Name | FAMILY FOOT CARE PC |
Practice Address |
2011 Rock St Suite D1 Peru IL 61354 |
Practice Telephone | 8152243933 |
Practice Fax Number | 8152242768 |
Mailing Telephone | 8152243933 |
Mailing Fax Number | 8152242768 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2008-03-14 |
Authorized Official Name | MR. LARRY DAVID KETNER (PRESIDENT) |
Authorized Official Telephone | 8152243933 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016004241 | IL | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255472742 | Family Foot Care PC | Podiatrist | 1881 Dale Earnhardt Blvd, Kannapolis, NC 28083-2104 | 2007-02-09 |
1235469958 | Family Foot Care PC | Podiatrist | 171 Franklin Tpke, Waldwick, NJ 07463-1849 | 2009-12-31 |
Street Address |
2011 ROCK ST SUITE D1 |
City | PERU |
State | IL |
Zip Code | 61354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013014778 | Timothy John Mertes | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
1477947661 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 2011 Rock St, Ste E, Peru, IL 61354-1385 | 2015-03-25 |
1841558798 | Kendra Renee Herman | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2012-04-29 |
1578890976 | Cpo Services, Inc | Prosthetist | 2011 Rock St, Suite D2, Peru, IL 61354 | 2009-11-06 |
1447371398 | Tricia Marie Cook | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2007-04-02 |
1124177720 | Timothy Paul Haas | Dentist | 2011 Rock St, Suite, B, Peru, IL 61354-1385 | 2007-01-10 |
1164572608 | Luke Smith | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2007-01-10 |
1962561241 | Timothy J Mertes and Michael D Piller Partners | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-12-06 |
1407955487 | Larry David Ketner | Podiatrist | 2011 Rock St, Suite D1, Peru, IL 61354 | 2006-09-22 |
1316044084 | Michael Donald Piller | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
Find all providers in zip 61354 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295780872 | Bradley R Hammersley | Podiatrist | 632 W Main St, Peru, IN 46970-1747 | 2006-05-23 |
1477556140 | John S Miles | Podiatrist | 685 E Main St, Peru, IN 46970-2637 | 2005-05-24 |
1982791992 | Amarad Enterprises, Inc. | Podiatrist | 632 W Main St, Peru, IN 46970-1747 | 2006-10-10 |
1407955487 | Larry David Ketner | Podiatrist | 2011 Rock St, Suite D1, Peru, IL 61354 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
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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.