Effingham Orthopedic Clinic Sc in Effingham - Orthopaedic Surgery
Effingham Orthopedic Clinic Sc - NPI 1912903261
Effingham Orthopedic Clinic Sc is a Orthopaedic Surgery in Effingham, Illinois. Effingham Orthopedic Clinic Sc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Effingham Orthopedic Clinic Sc is 1912903261. The last update date is 2009-07-08.
Effingham Orthopedic Clinic Sc's current location address is 802 E Jefferson Ave, Effingham, Illinois. You can contact this provider via phone number 2173475305 and fax number 2173475305. The mailing address for Effingham Orthopedic Clinic Sc is 802 E Jefferson Ave, Effingham, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Effingham Orthopedic Clinic Sc |
|---|---|
| Address | 802 E Jefferson Ave, Effingham, Illinois |
| Phone Number | 2173475305 |
| Fax Number | 2173475305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heshmatpour Behrooz |
| Credentials | M.D. |
| Telephone Number | 2173475305 |
NPI Number Detail
| NPI Number | 1912903261 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2009-07-08 |
Provider Mailing Address Detail
| Address | 802 E Jefferson Ave |
|---|---|
| City | Effingham |
| State | Illinois (IL) |
| Post Code | 624013409 |
| Phone Number | 2173475305 |
| Fax Number | 2173475305 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 36064071 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2500061 | BLUE CROSS BLUE SHIELD | ||
| 137805 | HEALTHLINK | ||
| 78985 | HEALTH ALLIANCE | ||
| 133294100 | ACS OWCP | ||
| 36064071 | IL | -- | |
| 200000910 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Effingham Orthopedic Clinic Sc's 1912903261?
The Effingham Orthopedic Clinic Sc's NPI (National Provider Identifier) Number is 1912903261. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Effingham Orthopedic Clinic Sc is physically located?
The Effingham Orthopedic Clinic Sc is situated at the following address: 802 E Jefferson Ave, Effingham, IL 624013409.
What is Effingham Orthopedic Clinic Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Effingham Orthopedic Clinic Sc is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912903261 to Effingham Orthopedic Clinic Sc?
The Centers for Medicare & Medicaid Services assigned the 1912903261 to Effingham Orthopedic Clinic Sc on 2005-06-22.
As of what date were the details related to Effingham Orthopedic Clinic Sc most recently updated or revised?
The information pertaining to Effingham Orthopedic Clinic Sc, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-08.
NPI Number: 1376546309
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