Active NPI
Central Illinois Orthopedic Surgery S.C.
- Orthopaedic Surgery Physician
- Bloomington, IL
National Provider Identifier
1710908058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CENTRAL ILLINOIS ORTHOPEDIC SURGERY S.C.
- Practice address
- 1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534 - Phone
- (309) 662-2278
- Fax
- (309) 663-2956
- NPI assigned
- Jul 22, 2006
- Last updated
- Aug 22, 2020
- 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
- Lawrence A. Nord, M.D.
- Title
- President
- Phone
- (309) 662-2278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534
Mailing address
1505 Eastland Dr
Suite 220
Bloomington, IL 61701-3534
Phone (309) 662-2278
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Bloomington, IL
- NPI 1649290461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710908058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "SUITE 220",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-662-2278",
"fax_number": "309-663-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "SUITE 220",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-662-2278",
"fax_number": "309-663-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL ILLINOIS ORTHOPEDIC SURGERY S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORD",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-662-2278",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
- Central Illinois Center for Wellness, LLC
- Central Illinois Family Eyecare LLC (Bloomington Eye Professionals)
- Central Illinois Neuro Health Sciences, LTD..
- Central Illinois Neuroradiology, LTD
- Central Illinois Orthopedic Surgery II LLC.
- Central Illinois Pediatric Associates LLC
- Central Illinois Preventive Services LLC
- Central Illinois Speech Therapy
- Cep America-Illinois Hospitalists
- Cepamerica Illinois LLP
Sources for this page
- 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.