Advanced Orthopedics, Pc in Peoria - Specialist
Advanced Orthopedics, Pc - NPI 1508924051
Advanced Orthopedics, Pc is a Specialist in Peoria, Illinois. Advanced Orthopedics, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Orthopedics, Pc is 1508924051. The last update date is 2007-12-12.
Advanced Orthopedics, Pc's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096926644 and fax number 3096923052. The mailing address for Advanced Orthopedics, Pc is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Orthopedics, Pc |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096926644 |
| Fax Number | 3096923052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lane W. George |
| Credentials | MD |
| Telephone Number | 3096926644 |
NPI Number Detail
| NPI Number | 1508924051 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096926644 |
| Fax Number | 3096923052 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 60007948 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 368270100 | IL | OWCP DEPARTMENT OF LABOR | |
| 60007948 | IL | STATE LICENSE | |
| CH8612 | IL | RR MEDICARE | |
| 50053 | IL | HEALTH ALLIANCE | |
| 7230175 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Advanced Orthopedics, Pc by the Centers for Medicare & Medicaid Services?
The Advanced Orthopedics, Pc has been issued the NPI (National Provider Identifier) 1508924051 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Advanced Orthopedics, Pc's facilities are geographically located?
The facilities of Advanced Orthopedics, Pc are physically situated at the following location: 5401 N Knoxville Ave, Peoria, IL, 616145098.
What is Advanced Orthopedics, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Advanced Orthopedics, Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508924051 to Advanced Orthopedics, Pc?
The Centers for Medicare & Medicaid Services assigned the 1508924051 to Advanced Orthopedics, Pc on 2006-12-05.
When was the Advanced Orthopedics, Pc's information last updated?
The Advanced Orthopedics, Pc's information was last updated on 2007-12-12.