JOCELYN ALEXANDRA LEON PETERS (NPI# 1013262666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013262666 |
| Entity Type | Individual |
| Full Name | JOCELYN ALEXANDRA LEON PETERS |
| Credential | MD |
| Practice Address |
101 S Wall St Carbondale IL 62901-3021 |
| Mailing Address |
109 California St Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6185199200 |
| Mailing Telephone | 6185199200 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036.145489 | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301101614 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036145489 | 05 |
| Street Address |
101 S WALL ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912908906 | Sherry L Jones | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901 | 2005-08-02 |
| 1639797624 | Theresa Bainbridge | Advanced Practice Midwife | 101 S Wall St, Carbondale, IL 62901-3021 | 2020-07-07 |
| 1417590639 | Rachael Wernsman | Advanced Practice Midwife | 101 S Wall St, Carbondale, IL 62901-3021 | 2019-10-21 |
| 1902447196 | Shawnee Health Service and Development Corp | Clinic/Center | 101 S Wall St, Carbondale, IL 62901-3021 | 2019-09-30 |
| 1275020992 | Laboratory Corporation of America | Clinical Medical Laboratory | 101 S Wall St, Carbondale, IL 62901 | 2018-04-18 |
| 1013464692 | Megan Walker | Advanced Practice Midwife | 101 S Wall St, Carbondale, IL 62901-3021 | 2016-09-01 |
| 1194272773 | Rebeccah Fletcher | Advanced Practice Midwife | 101 S Wall St, Carbondale, IL 62901-3021 | 2016-09-01 |
| 1124410972 | Miranda Leigh Saleh | Advanced Practice Midwife | 101 S Wall St, Carbondale, IL 62901 | 2015-03-03 |
| 1942620372 | Amanda J Bowers | Nurse Practitioner | 101 S Wall St, Carbondale, IL 62901-3021 | 2014-04-24 |
| 1881980233 | Izaskun Melania Iglesias | Pediatrics | 101 S Wall St, Carbondale, IL 62901-3021 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174974232 | Wayne Memorial Community Health Centers | Obstetrics & Gynecology | 44 N Scott St, Carbondale, PA 18407-2059 | 2016-06-29 |
| 1538341680 | New Horizons Obstetrics & Gynecology | Obstetrics & Gynecology | 305 W. Jackson, Ste 100, Carbondale, IL 62901 | 2007-11-30 |
| 1801861380 | Donald K Bishop | Obstetrics & Gynecology | 1390 Hope Dr, Suite B, Carbondale, IL 62901-5306 | 2006-02-20 |
| 1912908906 | Sherry L Jones | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901 | 2005-08-02 |
| 1013915065 | Akua Tiwaa Afriyie-gray | Obstetrics & Gynecology | 202 W. Jackson, Carbondale, IL 62901-1409 | 2005-07-13 |
| 1992196752 | New Horizons Medical Associates, LLC | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2015-02-13 |
| 1952406639 | Douglas L Gates | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1881799575 | Rebecca A. Hartman | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1073618765 | Frank M. Walker | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1457381774 | Shawnee Health Service and Development Corp | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901-3021 | 2006-07-03 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.