GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC NPI 1023292000

Durable Medical Equipment & Medical Supplies in Granite City, IL

NPI 1023292000 Organization Durable Medical Equipment & Medical Supp...

About GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC

Granite City Orthopedic Physicians Company Llc is a provider established in Granite City, Illinois specializing in durable medical equipment & medical supplies. The NPI number of Granite City Orthopedic Physicians Company Llc is 1023292000 and was assigned on December 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Debbie T Brewer (Director)

NPI

1023292000

Provider NameGRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
Provider Location Address2044 MADISON AVE GRANITE CITY, IL 62040
Provider Mailing Address2044 MADISON AVE GRANITE CITY, IL 62040
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-26-2007
Last Update Date10-15-2008


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License StateIL
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
2044 MADISON AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 451-0500
Fax: (618) 451-9436

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Mailing Address

GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
2044 MADISON AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 451-0500
Fax: (618) 451-9436



Authorized Official

Authorized Official Name DEBBIE T BREWER
Authorized Official TitleDIRECTOR
Authorized Official Phone(877) 892-9813

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6014850002MEDICARE NSC (07)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851383301 MICHAEL C ADAMS ME
Individual
Internal Medicine2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1275526956 LAWRENCE HARMON MD
Individual
Internal Medicine2044 MADISON AVE SUITE 23
GRANITE CITY, IL 62040
(618) 451-1500
1154314839 BENEDICT PAINTER MD
Individual
Internal Medicine (Infectious Disease)2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1881688745 ROD E HARTZEL MD
Individual
Internal Medicine2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1245201920DR. CHRISTOPHER JEAN KNAPP MD, MPH
Individual
Preventive Medicine (Occupational Medicine)2044 MADISON AVE SUITE G6
GRANITE CITY, IL 62040
(618) 798-3475
1427020999GATEWAY PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)2044 MADISON AVE STE 4
GRANITE CITY, IL 62040
(618) 877-5032
1104854470 DIANE M SCHWIND NP
Individual
Nurse Practitioner (Adult Health)2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1669490421 RAJINDER MAHAY MD
Individual
Internal Medicine2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1346350808ABID NISAR
Organization
Internal Medicine (Hematology & Oncology)2044 MADISON AVE STE 28
GRANITE CITY, IL 62040
(618) 451-9953
1184741142BIJOY HEGDE MD, PC
Organization
Physical Medicine & Rehabilitation2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1508079328MRS. DEBRA ANN CLARK RN
Individual
Registered Nurse (Pediatrics)2044 MADISON AVE SUITE G7
GRANITE CITY, IL 62040
(618) 451-6685
1487847638FAIRVIEW HEIGHTS MEDICAL GROUP SC
Organization
Urology2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1922233576 ELIZABETH PATRICIA MINCY APRN-C
Individual
Nurse Practitioner (Adult Health)2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500
1134217169 JOHN R WILLIAMS JR. MD
Individual
Surgery2044 MADISON AVE SUITE 27
GRANITE CITY, IL 62040
(618) 451-7600
1881683282 GUSTAVO VONDERLANCKEN MD
Individual
Surgery2044 MADISON AVE SUITE 27
GRANITE CITY, IL 62040
(618) 451-7600
1316366594BIOMEDICAL IMAGING, LLC
Organization
Physiological Laboratory2044 MADISON AVE SUITE 28
GRANITE CITY, IL 62040
(618) 877-3225
1073567483GRANITE CITY PHYSICIANS CORP
Organization
Internal Medicine2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 798-8652
1255387957GRANITE CITY CLINIC CORP
Organization
Family Medicine2044 MADISON AVE SUITE 27
GRANITE CITY, IL 62040
(618) 451-7600
1528222437DR. PAUL JOSEPH PACE M.D.
Individual
Surgery2044 MADISON AVE SUITE 27
GRANITE CITY, IL 62040
(618) 451-7600
1508983214GRANITE CITY PHYSICIANS CORP
Organization
Clinical Medical Laboratory2044 MADISON AVE SUITE 15
GRANITE CITY, IL 62040
(618) 451-1500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.