Organization Active NPI

Anna Clinic Corp

Doing business as Union County Podiatry

  • Durable Medical Equipment & Medical Supplies
  • Anna, IL
National Provider Identifier
1184952582
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANNA CLINIC CORP
Doing business as
Union County Podiatry
Practice address
515 N Main St
Suite E
Anna, IL 62906-1668
Phone
(618) 833-2872
Fax
(618) 833-2414
NPI assigned
Nov 23, 2009
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNA CLINIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(877) 892-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

515 N Main St
Suite E
Anna, IL 62906-1668

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (800) 581-1886

Other names 1

  • Union County Podiatry Doing business as

National Provider Directory

National Provider Directory
Part of
Anna Clinic Corp

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

515 N Main St
Anna, IL 62906
Phone (618) 833-2872

515 N Main St
Ste D
Anna, IL 62906
Phone (618) 833-2872

515 N Main St
Ste E
Anna, IL 62906
Phone (618) 833-2414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1803/brand/1/csg/23/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1184952582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "800-581-1886",
            "fax_number": "615-469-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MAIN ST",
            "address_2": "SUITE E",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-2872",
            "fax_number": "618-833-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNA CLINIC CORP",
        "enumeration_date": "2009-11-23",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union County Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.