Thomas H. Nolen, D.P.M., P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004182 Issued in IL

Legal business name

THOMAS H. NOLEN, D.P.M., P.C.

Practice address

205 N Davis Ave
Centralia, IL 62801-3339

Phone

(618) 532-9008

Fax

(618) 532-7764

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas H. Nolen, DPM

Title

President

Phone

(618) 548-0057

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thomas H. Nolen, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Mount Vernon, IL
  • NPI 1790851665

  O20080521000911

  Same enrollment
• Thomas H. Nolen, D.P.M.,P.C.

  • Foot & Ankle Surgery Podiatrist
  • Salem, IL
  • NPI 1073683637

  O20080521000911

  Same enrollment

Locations

Practitioners 1

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

• Damon Payton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florissant, MO
  • NPI 1649200502
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1912072968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811403",
            "telephone_number": "618-548-0057",
            "fax_number": "618-548-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N DAVIS AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013339",
            "telephone_number": "618-532-9008",
            "fax_number": "618-532-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. NOLEN, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-548-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD OF ILLINOIS",
            "identifier": "6106004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Tate, PT
• Michael Taylor, LPHA, LCPC, CRC
• Terry Chiropractic Clinic, LTD
• Mark W Terry, DC
• Anisha Thole
• Sonya Timlick
• Chad Tippit
• Tom Martin MD SC
• Travis Merrell Trone I
• Sara Trotter, MHP

• Foot & Ankle Surgery Podiatrist in Centralia, IL
• Providers in Centralia, 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 May 15, 2008; 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.