DR. ERIC T ELWOOD (NPI# 1033151162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033151162 |
| Entity Type | Individual |
| Full Name | DR. ERIC T ELWOOD |
| Credential | MD |
| Practice Address |
1001 Main Street 3rd Floor Peoria IL 61606-2037 |
| Practice Telephone | 3094950250 |
| Practice Fax Number | 3094950276 |
| Mailing Telephone | 3094950250 |
| Mailing Fax Number | 3094950276 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036103494 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036103494 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 7215166 | 01 |
| Street Address |
1001 MAIN STREET 3RD FLOOR |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972604221 | Denise M. Mammolito | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-09-26 |
| 1275542045 | Peoria Surgical Group, Ltd. | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606-2037 | 2006-08-07 |
| 1366462475 | Glyn E. Jones | Plastic Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-07-20 |
| 1366471997 | John S Marshall | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-07-03 |
| 1073542585 | Samir K. Gupta | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-30 |
| 1851320238 | Thomas R. Rossi | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-30 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1205864170 | Norman C Estes | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| 1699703892 | Richard Anderson | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-28 |
| 1649206533 | James R Debord | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1780628388 | Donald E Penn Jr. | Internal Medicine | 1001 Main St, Suite 500a, Peoria, IL 61606 | 2006-06-15 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1720597065 | Jason Daniel Johnson, Pllc | Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2017-09-28 |
| 1184895765 | Reid Hansen, M.d. | Surgery | 900 Main St, Suite 500, Peoria, IL 61602-1005 | 2008-03-21 |
| 1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
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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.