Organization Active NPI

Ruskusky Foot and Ankle Clinic, LTD.

  • Foot & Ankle Surgery Podiatrist
  • Pekin, IL
National Provider Identifier
1982761144
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
060008112 Issued in IL
Legal business name
RUSKUSKY FOOT AND ANKLE CLINIC, LTD.
Practice address
3305 Griffin Ave
Pekin, IL 61554-6237
Phone
(309) 347-3886
Fax
(309) 347-4002
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Jeffrey R Ruskusky, D.P.M.
Title
Owner
Phone
(309) 347-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 060008112 IL Primary

Addresses

Primary practice location

3305 Griffin Ave
Pekin, IL 61554-6237

Mailing address

3305 Griffin Ave
Pekin, IL 61554-6237
Phone (309) 347-3886

National Provider Directory

National Provider Directory

Locations

3305 Griffin Ave
Pekin, IL 61554
Phone (309) 347-3668

8600 N State Route 91
#Forth
Peoria, IL 61615

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1982761144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 GRIFFIN AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546237",
            "telephone_number": "309-347-3886",
            "fax_number": "309-347-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 GRIFFIN AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546237",
            "telephone_number": "309-347-3886",
            "fax_number": "309-347-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSKUSKY FOOT AND ANKLE CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "RUSKUSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-347-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "060008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.