St Joseph Medical Center in Bloomington - Podiatrist
St Joseph Medical Center - NPI 1871547414
St Joseph Medical Center is a Podiatrist in Bloomington, Illinois. St Joseph Medical Center practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for St Joseph Medical Center is 1871547414. The last update date is 2010-05-05.
St Joseph Medical Center's current location address is 302 Saint Joseph Dr, Bloomington, Illinois. You can contact this provider via phone number 8005896070 and fax number 3096835969. The mailing address for St Joseph Medical Center is 302 Saint Joseph Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Joseph Medical Center |
|---|---|
| Address | 302 Saint Joseph Dr, Bloomington, Illinois |
| Phone Number | 8005896070 |
| Fax Number | 3096835969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Mcshane J. Gerald |
| Credentials | M.D. |
| Telephone Number | 3096557193 |
NPI Number Detail
| NPI Number | 1871547414 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2010-05-05 |
Provider Mailing Address Detail
| Address | 302 Saint Joseph Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013506 |
| Phone Number | 8005896070 |
| Fax Number | 3096835969 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5723443 | IL | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to St Joseph Medical Center by the Centers for Medicare & Medicaid Services?
The St Joseph Medical Center has been assigned the NPI (National Provider Identifier) 1871547414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
What is St Joseph Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Joseph Medical Center is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
When did St Joseph Medical Center receive its 1871547414 assignment?
The St Joseph Medical Center was assigned its 1871547414 on 2006-05-19, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871547414 to St Joseph Medical Center?
The Centers for Medicare & Medicaid Services originally issued the 1871547414 to St Joseph Medical Center on 2006-05-19.
As of what date were the details pertaining to St Joseph Medical Center last refreshed?
The information related to the St Joseph Medical Center, including its address, specialty, and other relevant details, was last updated on 2010-05-05.
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