NPIMap

Organization Active NPI

Foot Surgery Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
National Provider Identifier
1770615148
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.004072 Issued in IL
Legal business name
FOOT SURGERY CENTER LLC
Practice address
4901 W Main St
Belleville, IL 62226-4724
Phone
(618) 222-1986
Fax
(618) 222-1898
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Victor Lewis Horsley, DPMNPI 1699715094
Title
Owner
Phone
(618) 222-6866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016.004072 IL Primary

Addresses

Primary practice location

4901 W Main St
Belleville, IL 62226-4724

Mailing address

4901 W Main St
Belleville, IL 62226-4724
Phone (618) 222-1986

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1770615148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264724",
            "telephone_number": "618-222-1986",
            "fax_number": "618-222-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264724",
            "telephone_number": "618-222-1986",
            "fax_number": "618-222-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-222-6866",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.