Organization Active NPI

Neuromuscular Orthopaedic Institute LTD

  • Orthopaedic Surgery Physician
  • Mount Vernon, IL
National Provider Identifier
1114030640
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
042007509 Issued in IL
Legal business name
NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD
Practice address
302 Broadway St
Mount Vernon, IL 62864-5116
Phone
(618) 242-4750
Fax
(618) 242-7674
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mr. Alan L Froehling, MDNPI 1538272190
Title
Owner
Phone
(618) 242-4750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 042007509 IL Primary

Addresses

Primary practice location

302 Broadway St
Mount Vernon, IL 62864-5116

Mailing address

302 Broadway St
Mount Vernon, IL 62864-5116
Phone (618) 242-4750

Other identifiers 3

IdentifierTypeStateIssuer
27610OtherILGHP
4100074OtherILBLUE CROSS BLUE SHIELD
CN4164OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

1245 S Mill St
Nashville, IL 62263
Phone (618) 327-8119

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1114030640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645116",
            "telephone_number": "618-242-4750",
            "fax_number": "618-242-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645116",
            "telephone_number": "618-242-4750",
            "fax_number": "618-242-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "FROEHLING",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-242-4750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042007509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "27610",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4100074",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN4164",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.