PATRICK WILLIAM ELWOOD (NPI# 1003861634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003861634 |
| Entity Type | Individual |
| Full Name | PATRICK WILLIAM ELWOOD |
| Credential | MD |
| Practice Address |
719 N William Kumpf Blvd Suite 100 Peoria IL 61605 |
| Practice Telephone | 3096760766 |
| Practice Fax Number | 3096765920 |
| Mailing Telephone | 3096760766 |
| Mailing Fax Number | 3096765920 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083672760 | Patrick Elwood | Internal Medicine | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2006-05-03 |
| Street Address |
719 N WILLIAM KUMPF BLVD SUITE 100 |
| City | PEORIA |
| State | IL |
| Zip Code | 61605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820218 | Osf Multi-specialty Group | Preventive Medicine | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2019-09-16 |
| 1285113282 | Cole Uebelhor | Physical Therapist | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2018-08-09 |
| 1871039388 | Osf Healthcare System | Preventive Medicine | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2017-01-09 |
| 1548651490 | Julie Deibel | Registered Nurse | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605-2530 | 2015-02-13 |
| 1972933711 | April Mcintyre | Occupational Therapy Assistant | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2013-11-14 |
| 1720326069 | Diana L France | Clinical Nurse Specialist | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2013-01-22 |
| 1194006635 | Sarah B Beam | Nurse Practitioner | 719 N William Kumpf Blvd, Peoria, IL 61605-2525 | 2011-08-29 |
| 1780813758 | Saint Francis Medical Center | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605-2530 | 2009-07-10 |
| 1528205069 | Illinois Neurological Institute-physicians LLC | Durable Medical Equipment & Medical Supplies | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605-2530 | 2009-01-20 |
| 1952560500 | Jianxun Zhou | Physical Medicine & Rehabilitation | 719 N William Kumpf Blvd, Ste 100, Peoria, IL 61605-2530 | 2008-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1639148356 | William G Nulty | Pediatrics | One Illini Dr, Medical Service Plan, Peoria, IL 61605 | 2006-03-15 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295185056 | Thomas Morison Russell | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-13 |
| 1700235280 | Nolan Winslow | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-06 |
| 1790167559 | Daniel Vollhaber | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2015-06-29 |
| 1053793315 | Max Kahn | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2015-06-23 |
| 1720493000 | Sujit Bhimireddy | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-06-25 |
| 1295173789 | Paul Miles Macmahon | Neurological Surgery | Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637-0001 | 2013-06-06 |
| 1790122141 | Kendrick Dewayne Johnson | Neurological Surgery | Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637-0001 | 2013-05-24 |
| 1326485921 | Illinois Neuroscience Institute | Neurological Surgery | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2013-05-23 |
| 1043506942 | Derek Martinez | Neurological Surgery | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2011-06-20 |
| 1467765040 | Andres L Maldonado | Neurological Surgery | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2010-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.