PODIATRY MEDICAL SURGICAL CENTER
NPI 1326228149
Podiatrist in Mattoon, IL

Active since November 08, 2007
821 CHARLESTON AVE, MATTOON, IL 61938(217) 234-3234(217) 234-4323 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Podiatry Medical Surgical Center NPPES

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

PODIATRY MEDICAL SURGICAL CENTER (NPI 1326228149) is a healthcare organization registered as a podiatrist in Mattoon, Illinois and active in the NPI registry since November 2007. The organization lists Ralph Young Lathrop, Owner, as its authorized official.

NPPES Registry Identity

NPI1326228149
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePODIATRY MEDICAL SURGICAL CENTER
Location Address821 CHARLESTON AVEMattoon, IL 61938-4202
Mailing Address821 Charleston AveMattoon, IL 61938-4202 · (217) 234-3234 · Fax (217) 234-4323
Fax(217) 234-4323
Organization SubpartNo
Authorized OfficialRalph Young LathropOwner · (217) 234-3234
Enumeration DateNovember 8, 2007
Last NPPES UpdateNovember 15, 2007
NPI 1326228149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
821 CHARLESTON AVE, Mattoon, IL 61938

Other Identifiers 1

Medicare PIN226290IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
821 CHARLESTON AVE
MATTOON, IL 61938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Podiatry Medical Surgical Center's NPI number?

The NPI number for Podiatry Medical Surgical Center is 1326228149. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Podiatry Medical Surgical Center located?

Podiatry Medical Surgical Center is located at 821 Charleston Ave, Mattoon, IL 61938. The listed phone number is (217) 234-3234.

What is Podiatry Medical Surgical Center's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Podiatry Medical Surgical Center was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.