Eickmeier Foot and Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004729 Issued in IL

Legal business name

EICKMEIER FOOT AND ANKLE CLINIC, LLC

Practice address

411 Devonshire Dr
Champaign, IL 61820-7286

Phone

(217) 352-2573

NPI assigned

Mar 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kimberly Eickmeier, DPMNPI 1811903651

Title

Owner

Phone

(217) 352-2573

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly M. Eickmeier, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Champaign, IL
  • NPI 1811903651
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1013379270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207286",
            "telephone_number": "217-352-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICKMEIER FOOT AND ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "EICKMEIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-352-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811903651",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasha Edwards
• Laura L Edwards
• Stephen Edwards
• Theo Edwards
• Kyle Steven Eichelberger, P.A.-C
• Kimberly M. Eickmeier, D.P.M.
• Mercy E Eigbike, MD
• Mohammed Eikram, M.D.
• Karen L Eisenmenger, MD
• Kathleen Ellen El Koury, LCSW

• Foot & Ankle Surgery Podiatrist in Champaign, IL
• Providers in Champaign, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.