DR. CHRISTINA B NULTY (NPI# 1114142643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114142643 |
Entity Type | Individual |
Full Name | DR. CHRISTINA B NULTY |
Credential | M.D. |
Practice Address |
912 N Elmwood Ave Peoria IL 61625-0001 |
Mailing Address |
1116 Dieble Rd Washington IL 61571-9615 |
Practice Telephone | 3096772700 |
Practice Fax Number | 3096773534 |
Mailing Telephone | 3096772700 |
Mailing Fax Number | 3096773534 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
IL | Allopathic & Osteopathic Physicians |
Street Address |
912 N ELMWOOD AVE |
City | PEORIA |
State | IL |
Zip Code | 61625-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770709719 | Janine E. Donahue | Psychiatry & Neurology | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013982487 | Eric T Redman | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-02-21 |
1265908776 | Eric Polomis | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2018-10-23 |
1518412725 | Rebecca Elschlager | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2016-08-17 |
1447536537 | Dustin Holley | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2011-11-02 |
1518122902 | Andrew J Strubhar | Physical Therapist | 1501 W Bradley Ave, Bradley University, Peoria, IL 61625-0001 | 2008-07-24 |
1043496664 | Megan Nixon | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2008-01-14 |
1215990189 | Marcus Ohnemus | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-04-10 |
1629045067 | Megan Stevenart | Specialist/Technologist | 1501 W Bradley Ave, Peoria, IL 61625-0001 | 2006-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1538760525 | Ayomikun Ajulo | Technician | 7426 W Cheryl Dr, Peoria, AZ 85345-6723 | 2020-11-05 |
1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
1942801071 | Kathrine Sunstedt | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 | 2020-11-04 |
1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
1366042988 | Nicole Elizabeth Steen | Registered Nurse | 21751 N 86th Ln, Peoria, AZ 85382-2497 | 2020-11-01 |
1699375683 | Christopher Wayne Sharp | Pharmacist | 8062 W Eva St, Peoria, AZ 85345-7197 | 2020-10-28 |
1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
Find all providers in PEORIA |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447446257 | Farah Tazeen | Internal Medicine | 1 S 161 Summit Ave., Oak Brook Terrace, IL 60181-3904 | 2007-09-15 |
1679665020 | Lynessa A Alonso | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-09-29 |
1447273859 | Samir Shah M.d.s.c | Internal Medicine | 3560 W 95th St, Evergreen Park, IL 60805-2107 | 2006-07-26 |
1194248914 | Mohamed Ihtesham Shaji | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2017-07-24 |
1679969182 | Greg D Ewert Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2015-04-10 |
1437599867 | Shakuntala Sachin Patil | Internal Medicine | 611 W Park St, Carle Forum Ll, Urbana, IL 61801-2500 | 2013-06-29 |
1487993911 | Eilis Ryan | Internal Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2013-02-04 |
1831496322 | Capital Health Inc | Internal Medicine | 7107 W Belmont Ave, Suite 8, Chicago, IL 60634-4688 | 2011-02-17 |
1356507834 | Woodridgeclinic S.c | Internal Medicine | 805 S Main St, Lombard, IL 60148-3300 | 2008-08-04 |
1043338189 | Sarah Bush Lincoln Health Center | Internal Medicine | 200 Richmond Ave E, Mattoon, IL 61938-4652 | 2007-03-27 |
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.