Granite City Orthopedic Physicians Company LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC

Doing business as

Illinois SW Orthopedics LTD

Practice address

4802 S State Route 159
Glen Carbon, IL 62034-1904

Phone

(618) 288-4388

Fax

(618) 288-4927

NPI assigned

May 20, 2006

Last updated

Jul 7, 2023By 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

Laura J Fey

Title

Sr. Director Physician Rev Cycle

Phone

(615) 221-3641

Specialties & licenses 2

Addresses

Other names 1

• ILLINOIS SW ORTHOPEDICS LTD Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Granite City Orthopedic Physicians Company LLC

  • Durable Medical Equipment & Medical Supplies
  • Granite City, IL
  • NPI 1023292000

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Michael J Walter, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Maryville, IL
  • NPI 1629096359
  NPD
• David J Elliff, PT

  • Physical Therapist
  • Glen Carbon, IL
  • NPI 1891811071
  NPD (past)
• Michele R Morris, P.T.

  • Physical Therapist
  • O'Fallon, IL
  • NPI 1679853667
  NPD (past)
• Kyle Shepperson, MD

  • Orthopaedic Surgery Physician
  • Maryville, IL
  • NPI 1407831704
  NPD (past)
• Galen A Weiss, M.D.

  • Orthopaedic Surgery Physician
  • Campbellsville, KY
  • NPI 1619969631
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1508810920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "615-221-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341904",
            "telephone_number": "618-288-4388",
            "fax_number": "618-288-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILLINOIS SW ORTHOPEDICS LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ILLINOIS SW ORTHOPEDICS LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Goshorn
• Alexandra Lynn Goss, RBT
• Michael Francis Gowen, MD
• Marissa Gowey, PHD
• Granite City Illinois Hospital Company LLC (Gateway Urgent Care)
• Granite City Orthopedic Physicians Company LLC (Illinois SW Orthopedics)
• Haileigh Marie Gray, RBT
• Harriet Grazman, LCSW
• Esther Green
• Kiera Alexis Green

• Orthopaedic Surgery Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.