Active NPI
Orthopaedic Center of Southern Illinois, LTD.
- Durable Medical Equipment & Medical Supplies
- Mount Vernon, IL
National Provider Identifier
1669943882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD.
- Practice address
- 4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262 - Phone
- (618) 242-3778
- NPI assigned
- Dec 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer E Lehman
- Title
- Office Manager
- Phone
- (618) 242-3778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Mailing address
4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone (618) 242-3778
Other practice location 1
1007 Martin Luther King Dr
Centralia, IL 62801-3001
Phone (618) 242-3778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134171226 | Other | IL | TYPE 2 NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopaedic Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Centralia, IL
- NPI 1932432143
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Decatur, IL
- NPI 1639146111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544918400000",
"number": "1669943882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 VETERANS MEMORIAL DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646262",
"telephone_number": "618-242-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 VETERANS MEMORIAL DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646262",
"telephone_number": "618-242-3778"
}
],
"practiceLocations": [
{
"address_1": "1007 Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "IL",
"postal_code": "628013001",
"country_code": "US",
"telephone_number": "618-242-3778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A",
"authorized_official_last_name": "LEHMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "618-242-3778"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI",
"identifier": "1134171226",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.