SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
NPI 1023001377
Clinic/Center - Ambulatory Surgical in Herrin, IL

Q: What is Southern Illinois Orthopedic Center,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since August 23, 2005CLIA 14D0978769 · Waiver

510 LINCOLN DR, HERRIN, IL 62948(618) 997-3100(618) 997-3616 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Illinois Orthopedic Center,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC (NPI 1023001377) is a healthcare organization registered as an ambulatory surgical in Herrin, Illinois and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Justin Harris, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023001377

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC

Location Address510 LINCOLN DRHerrin, IL 62948-6334

Mailing Address600 S Cliff Ave Ste 106Sioux Falls, SD 57104-5355 · (618) 997-3100 · Fax (618) 997-3616

Phone(618) 997-3100

Fax(618) 997-3616

Organization SubpartNo

Authorized OfficialJustin HarrisChief Executive Officer · (859) 537-7001

Enumeration DateAugust 23, 2005

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1023001377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IL · 7002421

510 LINCOLN DR, Herrin, IL 62948

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Other Identifiers 4

Other066440Health Alliance

Other1458IL · Bc/bs

Other441874Healthlink

Other133621000Us Dept Of Labor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0978769

Southern Illinois Orthopedic Center LLC · Herrin, IL

Active · expires Oct 2, 2026

CLIA Number14D0978769

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorJohn T. Davis

Laboratory Phone(618) 997-3100

Laboratory LocationSouthern Illinois Orthopedic Center LLC510 Lincoln Dr, Herrin, IL 62948

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

9,310 services35 patients

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088

Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.

5,201 services14 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

95 services82 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

78 services59 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

54 services51 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

36 services31 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED JONES

Physical Therapist