Thomas H. Nolen, D.P.M.,P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004182 Issued in IL

Legal business name

THOMAS H. NOLEN, D.P.M.,P.C.

Practice address

624 W Main St
Salem, IL 62881-1403

Phone

(618) 548-0057

Fax

(618) 548-9611

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas H. Nolen, D.P.M.NPI 1083602718

Title

President

Phone

(618) 548-0057

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thomas H. Nolen, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Mount Vernon, IL
  • NPI 1790851665

  O20080521000911

  Same enrollment
• Thomas H. Nolen, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Centralia, IL
  • NPI 1912072968

  O20080521000911

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas H. Nolen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Salem, IL
  • NPI 1083602718
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1073683637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811403",
            "telephone_number": "618-548-0057",
            "fax_number": "618-548-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811403",
            "telephone_number": "618-548-0057",
            "fax_number": "618-548-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. NOLEN, D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-548-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD OF ILLINOIS",
            "identifier": "60115194",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD OF ILLINOIS",
            "identifier": "6106002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD OF ILLINOIS",
            "identifier": "6106004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Sue Szatkowski, APRN
• Preecha Tawjareon, M.D.
• The Adjustment Bureau PC
• The Manor at Salem Woods, L.P.
• Megan Thomann
• Heidi V. Thompson, FNP-BC
• Total Renal Care Inc
• Twin Willows Nursing Center Inc
• Candice Ullery, SBD
• United Medical Response LLC

• Foot & Ankle Surgery Podiatrist in Salem, IL
• Providers in Salem, 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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.