Active NPI
Neuromuscular Orthopaedic Institute LTD
- Orthopaedic Surgery Physician
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 042007509
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan L Froehling, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27610 | Other | IL | GHP |
| 4100074 | Other | IL | BLUE CROSS BLUE SHIELD |
| CN4164 | Other | IL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Mount Vernon, IL
- NPI 1538272190
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.