Orland Park Orthopedics SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ORLAND PARK ORTHOPEDICS SC

Practice address

110 W McClure Ave
Peoria, IL 61604-3634

Phone

(309) 419-8996

Fax

(309) 966-3928

NPI assigned

Nov 5, 2018

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ORLAND PARK ORTHOPEDICS SCAs reported in NPPES

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

Authorized official

Name

Dr. Blair Andrew Rhode, MDNPI 1740473081

Title

President

Phone

(708) 337-7704

Specialties & licenses 1

Addresses

Other names 3

• Orland Park Orthopedics - Ottawa Other name
• Orland Park Orthopedics - Peoria Other name
• The Loop Orthopedics Other name

Tax ID family

Orland Park Orthopedics SC2 organizations share this tax ID, including this one

Part of

Orland Park Orthopedics SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orland Park Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chicago, IL
  • NPI 1164621645
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orland Park Orthopedics SC

  • Orthopaedic Surgery Physician
  • Orland Park, IL
  • NPI 1346343936
  NPPES parent name

Practitioners 2

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.

• Blair Andrew Rhode, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orland Park, IL
  • NPI 1740473081
  NPD (past) Authorized official
• Lori Welke, PA-C

  • Physician Assistant
  • Peoria, IL
  • NPI 1326237637
  NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1073081436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MCCLURE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043634",
            "telephone_number": "309-419-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MCCLURE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043634",
            "telephone_number": "309-419-8996",
            "fax_number": "309-966-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16450 104th Ave",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675413",
            "country_code": "US",
            "telephone_number": "708-337-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Gemini Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501690",
            "country_code": "US",
            "telephone_number": "847-299-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Van Buren St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606073617",
            "country_code": "US",
            "telephone_number": "708-722-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLAND PARK ORTHOPEDICS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLAND PARK ORTHOPEDICS SC",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-337-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Park Orthopedics - Ottawa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orland Park Orthopedics - Peoria",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orland Park Orthopedics - Peoria",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Loop Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chibuzor Nonye Opara, MD
• Jonathan Opperman, PT
• Optim Dental Peoria-1 LLC
• Oral & Maxillofacial Surgeons of Central Illinois
• Orland Park Dental Services
• Stephen R Orlevitch, M.D.
• Andrew Joseph Ortega, M.D.
• Orthodontics LTD
• Orthopedic Associates of Peoria, S.C. (Great Plains Orthopaedics)
• Orthopedic Associates of Peoria, S.C. (d/b/a Great Plains Orthopaedics)

• Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.