Anderson Tiernan Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005321 Issued in IL

Legal business name

ANDERSON TIERNAN PODIATRY PC

Doing business as

Advanced Foot and Ankle Center of Orland Park

Practice address

10751 W 143Rd St
Orland Park, IL 60462-1900

Phone

(708) 460-8688

Fax

(708) 460-9272

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Breck M Tiernan, DPM

Title

President

Phone

(815) 553-0990

Specialties & licenses 1

Addresses

Other names 1

• Advanced Foot and Ankle Center of Orland Park Doing business as

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1538590013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "708-460-8688",
            "fax_number": "708-460-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "708-460-8688",
            "fax_number": "708-460-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON TIERNAN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "TIERNAN",
        "authorized_official_first_name": "BRECK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-553-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot and Ankle Center of Orland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Service and Product Inc (Asap Pharmacy)
• Narendra J Amin, M.D.
• Nisreen Amir
• Amanda Kay Amiti, FNP, PMHNP-BC
• Anchored in Health SC
• Courtney Jean Anderson, PHARMD
• Kenneth W Anderson III, M.D.
• Sarah Megan Anderson, PSY.D.
• Shana Marie Anderson, LPC
• Stephanie Anderson, MS CCC-SLP/L

• Foot & Ankle Surgery Podiatrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.