Foot and Ankle Associates of Central Illinois LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC

Practice address

2901 Old Jacksonville Rd
Suite G
Springfield, IL 62704-7437

Phone

(217) 243-1101

Fax

(217) 243-5003

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

John Fleischli, DPM

Title

President

Phone

(217) 243-1101

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700900230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W WALNUT ST",
            "address_2": "SUITE 12",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501150",
            "telephone_number": "217-243-1101",
            "fax_number": "217-243-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OLD JACKSONVILLE RD",
            "address_2": "SUITE G",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047437",
            "telephone_number": "217-243-1101",
            "fax_number": "217-243-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEISCHLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-243-1101",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06932011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE #",
            "identifier": "DA1788",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Folse, MD
• Rodrigue Fontem, MD
• Foot & Ankle Associates of Central Il LLC
• Foot & Ankle Associates of Central Il LLC
• Foot & Ankle Center of Illinois PC
• Devieanna Ameria Foote
• Jayden Foote, PA-C
• Nathalie Emma-Marie Foray, DO
• Aimee Lynn Forbes, PTA
• David Lee Forbes, LCPC

• Durable Medical Equipment & Medical Supplies in Springfield, IL
• Providers in Springfield, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.