McNierney Podiatry, P.C.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

MCNIERNEY PODIATRY, P.C.

Practice address

209 Woodbine Dr
Elwood, IL 60421-6029

Phone

(815) 600-9780

NPI assigned

Sep 25, 2007

Last updated

Feb 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Francis McNierney Jr., DPMNPI 1902963010

Title

Owner

Phone

(815) 600-9780

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Francis McNierney Jr., DPM

  • Podiatrist
  • Elwood, IL
  • NPI 1902963010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1386831287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WOODBINE DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604216029",
            "telephone_number": "815-600-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WOODBINE DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604216029",
            "telephone_number": "815-600-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNIERNEY PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "MCNIERNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-600-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00333439",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Geraci, LCSW
• Charles Kinney Jr.
• Autumn Marie Lawson
• Donna Lee Lyle, RN
• Keilene McCants
• William Francis McNierney Jr., DPM
• Alexandria McNitt, MSW,LSW
• Dana Louise Pich, DEVELOPMENTAL THERAP
• Ashley Quinlan
• Trinity Services Inc.

• Primary Podiatric Medicine Podiatrist in Elwood, IL
• Providers in Elwood, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.