THOMAS H. NOLEN D.P.M. P.C. NPI 1912072968

NPI Information

NPI: 1912072968
Provider Name: THOMAS H. NOLEN, D.P.M., P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
205 N DAVIS AVE
CENTRALIA, IL
ZIP 62801
Phone: (618) 532-9008
Get Directions

THOMAS H. NOLEN, D.P.M., P.C. is a foot and ankle surgery podiatrist in Centralia, IL. THOMAS H. NOLEN, D.P.M., P.C. NPI is 1912072968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 N DAVIS AVE
CENTRALIA, IL
ZIP 62801-339
Phone: (618) 532-9008
Fax: (618) 532-7764

The provider's authorized official is Thomas H. Nolen .
The authorized official title is President and has the following contact phone number (618) 548-0057.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016-004182	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016004182	MEDICAID	ILLINOIS
2	0491040003	MEDICARE NSC	ILLINOIS
3	787811	MEDICARE PIN	ILLINOIS
4	6106004	OTHER	ILLINOIS	BLUE CROSS / BLUE SHIELD OF ILLINOIS
5	480025561	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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