Active NPI
Curtis L Ward, DPM
- Foot & Ankle Surgery Podiatrist
- Peoria, IL
National Provider Identifier
1114926748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016002924
- Practice address
- 5017 N Glen Park Place Rd
Peoria, IL 61614-4677 - Phone
- (309) 691-1589
- Fax
- (309) 692-2032
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016002924 | IL | Primary |
Addresses
Primary practice location
5017 N Glen Park Place Rd
Peoria, IL 61614-4677
Mailing address
4427 W Jewelwood CT
Peoria, IL 61615-8933
Phone (309) 692-1847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016002924 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016002924 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acpm Podiatry Group, LTD | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatric Management Systems LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Peoria, IL
- NPI 1730261363
-
- Primary Podiatric Medicine Podiatrist
- Lake Zurich, IL
- NPI 1396968053
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1114926748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4427 W JEWELWOOD CT",
"city": "PEORIA",
"state": "IL",
"postal_code": "616158933",
"telephone_number": "309-692-1847",
"fax_number": "309-692-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5017 N GLEN PARK PLACE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144677",
"telephone_number": "309-691-1589",
"fax_number": "309-692-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "CURTIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016002924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016002924",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.