Organization Active NPI

Foot & Ankle Associates of Central Il LLC

  • Foot & Ankle Surgery Podiatrist
  • Springfield, IL
National Provider Identifier
1194091629
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE ASSOCIATES OF CENTRAL IL LLC
Practice address
1603 West Washington
Springfield, IL 62702-4794
Phone
(217) 744-7529
NPI assigned
Mar 29, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Donna Beierman
Title
Office Manager
Phone
(217) 243-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1603 West Washington
Springfield, IL 62702-4794

Mailing address

1515 W Walnut St Ste 12
Jacksonville, IL 62650-1158
Phone (217) 243-1101

National Provider Directory

National Provider Directory

Locations

1603 W Washington St
Springfield, IL 62702
Phone (217) 744-7529

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1194091629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W WALNUT ST STE 12",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501158",
            "telephone_number": "217-243-1101",
            "fax_number": "217-243-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 WEST WASHINGTON",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024794",
            "telephone_number": "217-744-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE ASSOCIATES OF CENTRAL IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BEIERMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-243-1101"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.