Organization Active NPI

Gitersonke Foot Clinic, PC

  • Foot & Ankle Surgery Podiatrist
  • Granite City, IL
National Provider Identifier
1124215876
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GITERSONKE FOOT CLINIC, PC
Practice address
2412 Corporate Ctr
Granite City, IL 62040-4192
Phone
(618) 931-3338
Fax
(618) 931-4905
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mrs. Peggy Dolores Gitersonke
Title
Office Manager
Phone
(619) 931-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X IL Primary

Addresses

Primary practice location

2412 Corporate Ctr
Granite City, IL 62040-4192

Mailing address

2412 Corporate Ctr
Granite City, IL 62040-4192
Phone (618) 931-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1124215876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 CORPORATE CTR",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404192",
            "telephone_number": "618-931-3338",
            "fax_number": "618-931-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 CORPORATE CTR",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404192",
            "telephone_number": "618-931-3338",
            "fax_number": "618-931-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GITERSONKE FOOT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "GITERSONKE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-931-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.