Organization
EFFINGHAM ORTHOPEDIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROOZ HESHMATPOUR M.D. (PRESIDENT)
(217) 347-5305
Entity
Organization
Contact information
Practice address
802 E JEFFERSON AVE, EFFINGHAM, IL 62401-3409
(217) 347-5305
(217) 347-5305
Mailing address
802 E JEFFERSON AVE, EFFINGHAM, IL 62401-3409
(217) 347-5305
(217) 347-5305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036064071
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02500061
BLUE CROSS BLUE SHIELD
—
05
—
036064071
—
IL
01
—
078985
HEALTH ALLIANCE
—
01
—
133294100
ACS OWCP
—
01
—
137805
HEALTHLINK
—
01
—
200000910
RAILROAD MEDICARE
—
Enumeration date
06/22/2005
Last updated
07/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up