Mercado Foot Clinic LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016002453 Issued in IL

Legal business name

MERCADO FOOT CLINIC LTD

Practice address

6545 W. North Ave
Oak Park, IL 60302-1020

Phone

(708) 383-6800

Fax

(708) 383-6827

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Orlando A Mercado, D.P.M.

Title

Director

Phone

(708) 383-6800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1891805222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 W. NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021020",
            "telephone_number": "708-383-6800",
            "fax_number": "708-383-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 W. NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021020",
            "telephone_number": "708-383-6800",
            "fax_number": "708-383-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO FOOT CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-383-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016002453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CL0737",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "01633089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven David Mendez
• Sheila Idalis Mendoza
• James Scott Mennenga, LCSW
• Siva Kumar Menon, PT
• Mercado Center for Foot & Ankle Surgery
• Rhea Suhel Merchant, PA-C
• Sydney Catherine Mesker
• Jillian Messner
• Steven C Meyer, LCSW
• Micah Layman PLLC

• Foot & Ankle Surgery Podiatrist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.