Belleville Orthopedic Surgeons LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036101574 Issued in IL

Legal business name

BELLEVILLE ORTHOPEDIC SURGEONS LTD

Practice address

4550 Memorial Dr
Suite 460
Belleville, IL 62226-5372

Phone

(618) 235-2900

Fax

(618) 235-2009

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Donald A Weimer, M.D..

Title

Partner

Phone

(618) 235-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Harvey Lee Mirly, M.D.

  • Orthopaedic Hand Surgery Physician
  • Belleville, IL
  • NPI 1447203971
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1619292950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR",
            "address_2": "SUITE 460",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-235-2900",
            "fax_number": "618-235-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR",
            "address_2": "SUITE 460",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-235-2900",
            "fax_number": "618-235-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE ORTHOPEDIC SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-235-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036101574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE NUMBER",
            "identifier": "036101574",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belleville Endoscopy Anesthesia
• Belleville Endoscopy LLC
• Belleville Family Medical Associates, LTD
• Belleville Healthcare & Rehab Center
• Belleville Healthcare Center LP
• Belleville Orthopedics, P.C.
• Belleville Rehabilitation Services,LTD
• Belleville School District 118
• Belleville Surgical Center LTD
• Belleville Surgical Center LTD

• Specialist in Belleville, IL
• Providers in Belleville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.