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PREMIER FOOT AND ANKLE OF ILLINOIS, PC
NPI 1467867234
Podiatrist - Foot & Ankle Surgery in Maryville, IL

Active since June 30, 2014
6810 STATE ROUTE 162, SUITE 20, MARYVILLE, IL 62062(618) 288-2835(618) 288-6162 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Premier Foot And Ankle Of Illinois, Pc NPPES

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

PREMIER FOOT AND ANKLE OF ILLINOIS, PC (NPI 1467867234) is a healthcare organization registered as a foot & ankle surgery in Maryville, Illinois and active in the NPI registry since June 2014. The organization lists Gabriel Cardenas, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1467867234
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePREMIER FOOT AND ANKLE OF ILLINOIS, PC
Location Address6810 STATE ROUTE 162, SUITE 20Maryville, IL 62062-8587
Mailing Address6810 State Route 162, Suite 20Maryville, IL 62062-8587 · (618) 288-2835 · Fax (618) 288-6162
Phone(618) 288-2835
Fax(618) 288-6162
Organization SubpartNo
Authorized OfficialGabriel CardenasOwner/podiatrist · (618) 288-2835
Enumeration DateJune 30, 2014
Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration
✔ NPI 1467867234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016.005608
6810 STATE ROUTE 162, Maryville, IL 62062
Open in Google Maps ↗

Other Identifiers 2

OtherF100153987IL · Medicare Ptan Group
Medicare PIN1467867234IL

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 20

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

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062
Madison County (618) 334-2425
DR. GABRIEL CARDENAS JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-2835
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MARK FEDDER, MD, PC
Internal Medicine (Gastroenterology)
6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062
Madison County (618) 288-0346
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JAMES JOSEPH DALLA RIVA M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
MARK SILVEY CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711

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 Premier Foot And Ankle Of Illinois, PC's NPI number?

The NPI number for Premier Foot And Ankle Of Illinois, PC is 1467867234. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Premier Foot And Ankle Of Illinois, PC located?

Premier Foot And Ankle Of Illinois, PC is located at 6810 State Route 162 Suite 20, Maryville, IL 62062. The listed phone number is (618) 288-2835.

What is Premier Foot And Ankle Of Illinois, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Premier Foot And Ankle Of Illinois, PC was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.