SARAH BUSH LINCOLN BONUTTI CLINIC
NPI 1285687996
Orthopaedic Surgery in Effingham, IL

Active since May 17, 2006CLIA 14D0960335 · Accreditation
1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 62401(217) 342-3400(217) 342-6416 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarah Bush Lincoln Bonutti Clinic NPPES

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

SARAH BUSH LINCOLN BONUTTI CLINIC (NPI 1285687996) is a healthcare organization registered as an orthopaedic surgery in Effingham, Illinois and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through October 13, 2026 and lists Dennis Pluard, Cfo & Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1285687996
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBONUTTI ORTHOPEDIC SERVICES LTD
Location Address1303 W EVERGREEN AVE, SUITE 101Effingham, IL 62401
Mailing Address1303 W Evergreen Ave Ste 101Effingham, IL 62401-1619 · (217) 342-3400 · Fax (217) 342-6416
Fax(217) 342-6416
Organization SubpartYesParent: Practice Acquisition Inc
Authorized OfficialDennis PluardCfo & Vp Of Operations · (217) 258-2102
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 22, 2018
NPI 1285687996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 060005120
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 care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 060005120 (IL)
Also ListedPreventive Medicine · Sports MedicineTaxonomy 2083S0010X · License 060005120 (IL)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 060005120 (IL)
1303 W EVERGREEN AVE, Effingham, IL 62401

Other Names 1

Doing Business AsSarah Bush Lincoln Bonutti Clinic

Other Identifiers 3

Other166708IL · Healthlink
Medicaid=========-60401-02IL
Other2500074IL · Bluecross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Accreditation 14D0960335

S B L Bonutti Clinic · Effingham, IL
Active · expires Oct 13, 2026
CLIA Number14D0960335
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorAna L W Watts
Laboratory Phone(217) 342-3400
Laboratory LocationS B L Bonutti Clinic1303 W Evergreen, Effingham, IL 62401
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 15

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

Physical Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Occupational Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Occupational Therapist (Hand)
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Physical Therapist
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Physical Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Specialist/Technologist (Athletic Trainer)
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Nurse Practitioner (Adult Health)
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401
Specialist/Technologist (Athletic Trainer)
1303 W EVERGREEN AVE
EFFINGHAM, IL 62401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285687996, enumerated as an "organization" on May 17, 2006.

The provider is located at 1303 W EVERGREEN AVE SUITE 101 EFFINGHAM, IL 62401 and the phone number is (217) 342-3400.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.