Orthopaedic and Rehabilitation Specialists of Central Illinois

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

036-109943 Issued in IL

Legal business name

ORTHOPAEDIC AND REHABILITATION SPECIALISTS OF CENTRAL ILLINOIS

Practice address

304 W Hay St
Suite 218
Decatur, IL 62526-6328

Phone

(217) 877-2088

Fax

(217) 877-3622

NPI assigned

Oct 22, 2006

Last updated

Apr 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Tuan, M.D.NPI 1477520955

Title

President

Phone

(217) 877-2088

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Kenneth Tuan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Decatur, IL
  • NPI 1477520955
  Medicare reassignment NPD Authorized official
• Susan S Wu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Decatur, IL
  • NPI 1639146111
  Medicare reassignment NPD

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1902989379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 218",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-2088",
            "fax_number": "217-877-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 218",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-2088",
            "fax_number": "217-877-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AND REHABILITATION SPECIALISTS OF CENTRAL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "TUAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-877-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036-109943",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-109858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Price P Omondi, D.O.
• Evelena Ontiveros, MD PHD
• Open Skye Counseling PLLC
• Adebola Oluwatosin Orekoya, MD
• Obinna Orji, MD
• Larry William Osborne, D.M.D.
• Dale P Ostrander, MD
• Wael Mohammad Otaibi, D.O.
• Kathleen A Outzen, LCSW
• Ovations Transportation Services

• Sports Medicine (Orthopaedic Surgery) Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.