Organization Active NPI

Galesburg Orthopedic Services, LTD

  • Specialist
  • Galesburg, IL
National Provider Identifier
1871698035
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GALESBURG ORTHOPEDIC SERVICES, LTD
Practice address
834 N Seminary St
Suite 102
Galesburg, IL 61401-2852
Phone
(309) 342-0194
Fax
(309) 342-9759
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Jeannette M Farrow
Title
Adminsrator
Phone
(309) 342-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

834 N Seminary St
Suite 102
Galesburg, IL 61401-2852

Mailing address

834 N Seminary St
Suite 102
Galesburg, IL 61401-2852
Phone (309) 342-0194

Other identifiers 1

IdentifierTypeStateIssuer
04815039OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1871698035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 102",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-342-0194",
            "fax_number": "309-342-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 102",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-342-0194",
            "fax_number": "309-342-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG ORTHOPEDIC SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINSRATOR",
        "authorized_official_telephone_number": "309-342-0194"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04815039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.