Provider Type Icon

BONUTTI ORTHOPEDIC SERVICES LTD NPI 1285687996


NPI Information

NPI: 1285687996
Provider Name: BONUTTI ORTHOPEDIC SERVICES LTD

Doing Business As: SARAH BUSH LINCOLN BONUTTI CLINIC

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 14D0963030

Address:
1303 W EVERGREEN AVE
SUITE 101
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-3400
Get Directions

BONUTTI ORTHOPEDIC SERVICES LTD is an orthopaedic surgery in Effingham, IL. The provider is 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. BONUTTI ORTHOPEDIC SERVICES LTD NPI is 1285687996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sarah Bush Lincoln Bonutti Clinic.

The provider's business location address is:

1303 W EVERGREEN AVE
SUITE 101
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-3400
Fax: (217) 342-6416

The provider's authorized official is Dennis Pluard .
The authorized official title is Cfo & Vp Of Operations and has the following contact phone number (217) 258-2102.

The CLIA number assigned to this NPI record is 14D0963030 - other - reference lab with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 5/22/2018.


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
1207X00000XOrthopaedic Surgery060005120ILLINOISYes
2207XS0106XOrthopaedic SurgeryHand Surgery060005120ILLINOISNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineILLINOISNo
42083S0010XPreventive MedicineSports Medicine060005120ILLINOISNo
52083X0100XPreventive MedicineOccupational Medicine060005120ILLINOISNo

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
1166708OTHERILLINOISHEALTHLINK
2=========-60401-02MEDICAIDILLINOIS
32500074OTHERILLINOISBLUECROSS BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.