Podiatry Medical Surgical Center

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PODIATRY MEDICAL SURGICAL CENTER

Practice address

821 Charleston Ave
Mattoon, IL 61938-4202

Phone

(217) 234-3234

Fax

(217) 234-4323

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Young Lathrop, D.P.M.

Title

Owner

Phone

(217) 234-3234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Bruce Nead, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Charleston, IL
  • NPI 1659407781
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1326228149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CHARLESTON AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384202",
            "telephone_number": "217-234-3234",
            "fax_number": "217-234-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CHARLESTON AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384202",
            "telephone_number": "217-234-3234",
            "fax_number": "217-234-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY MEDICAL SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "LATHROP",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-234-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philco Dental Group LLC - Mattoon
• Philip B. Kepp, DDS,PC
• Kali Pierce, BA
• Ryan Robert Pine, M.D.
• George Issac Plamoottil, M.D.
• James Samuel Polek
• Anand Ponnappan, MD
• Nora Porter
• Lynn Potter, APRN
• Jeffrey David Powell, D.O.

• Podiatrist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.