Organization Active NPI

Victor L Horsley DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
National Provider Identifier
1235253923
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.004072
Legal business name
VICTOR L HORSLEY DPM LLC
Practice address
4901 West Main
Belleville, IL 62226-4724
Phone
(618) 222-1986
Fax
(618) 222-1898
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Victor Lewis Horsley, DPM
Title
Owner
Phone
(618) 222-6866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016.004072 Primary

Addresses

Primary practice location

4901 West Main
Belleville, IL 62226-4724

Mailing address

4901 West Main
Belleville, IL 62226-4724
Phone (618) 222-1986

Other identifiers 1

IdentifierTypeStateIssuer
K21303OtherILDME PROVIDER

National Provider Directory

National Provider Directory

Locations

4901 W Main St
Belleville, IL 62226
Phone (618) 222-1896

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1235253923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WEST MAIN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264724",
            "telephone_number": "618-222-1986",
            "fax_number": "618-222-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 WEST MAIN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264724",
            "telephone_number": "618-222-1986",
            "fax_number": "618-222-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR L HORSLEY DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-222-6866",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": "016.004072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER",
            "identifier": "K21303",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.