Musculoskeletal Surgery Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

7003146 Issued in IL

Legal business name

MUSCULOSKELETAL SURGERY CENTER, LLC

Practice address

303 N William Kumpf Blvd
Peoria, IL 61605-2507

Phone

(309) 676-5546

Fax

(309) 676-5045

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Janet E Smith

Title

Chief Operating Officer

Phone

(309) 676-5546

Specialties & licenses 1

Addresses

Other names 1

• Great Plains, LLC Doing business as

Practitioners 1

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

• Stephen R Orlevitch, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Peoria, IL
  • NPI 1841290913
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1811220650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N WILLIAM KUMPF BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052507",
            "telephone_number": "309-676-5546",
            "fax_number": "309-676-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N WILLIAM KUMPF BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052507",
            "telephone_number": "309-676-5546",
            "fax_number": "309-676-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULOSKELETAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "309-676-5546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "7003146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Plains, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammi Lynn Murphy, PTA
• Zeny J Murphy, APRN, CNP
• Klancee Murtagh
• Jovie Ann Murtha, PT
• Ziad Musaitif, DO
• Musculoskeletal Surgical Center
• Neha Choudary Muthavarapu, MD
• Marcus Ismedhi Mutidjo, APN
• Millicent Mutisya
• Myeasyaccesshealthcare, PLLC

• Multi-Specialty Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.