The Fifer Center for Plastic Surgery LTD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE FIFER CENTER FOR PLASTIC SURGERY LTD

Practice address

1104 W Evergreen Ave
Effingham, IL 62401-1710

Phone

(217) 342-7090

Fax

(217) 342-7094

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Fifer, MD FACS

Title

Owner

Phone

(217) 342-7090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Fifer Center Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083711287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W EVERGREEN AVE",
            "address_2": "SUITE A",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011710",
            "telephone_number": "217-342-7090",
            "fax_number": "217-342-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W EVERGREEN AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011710",
            "telephone_number": "217-342-7090",
            "fax_number": "217-342-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIFER CENTER FOR PLASTIC SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIFER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-342-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "025-00076",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fifer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Taylor, PTA
• Ted B Koester DMD PC
• Madalyn Mari Tegeler, PA-C
• The Center for Jaw and Facial Surgery, P.C.
• The Counseling Cottages, PLLC
• The Thomas Shop
• Kelly Elaine Thomann, PT, DPT
• Theresa Thompson-Loy, MS
• Averee Ann Campbell Thompson, LPC
• Barbara Jo Thompson

• Plastic Surgery Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.