PEORIA SURGICAL GROUP, LTD.


Address: 1001 Main Street, Suite 300, Peoria, IL 61606-2037
Phone: 3094950200

PEORIA SURGICAL GROUP, LTD. (NPI# 1275542045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275542045
Entity Type Organization
Organization Name PEORIA SURGICAL GROUP, LTD.
Practice Address 1001 Main Street
Suite 300
Peoria
IL 61606-2037
Practice Telephone 3094950200
Practice Fax Number 3096766545
Mailing Telephone 3094950200
Mailing Fax Number 3096766545
Enumeration Date 2006-08-07
Last Update Date 2011-11-10
Authorized Official Name DR. THOMAS ROSSI (M.D./VICE PRESIDENT, MANAGING PART)
Authorized Official Telephone 3094950200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1001 MAIN STREET
SUITE 300
City PEORIA
State IL
Zip Code 61606-2037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033151162 Eric T Elwood Surgery 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 2006-06-12
1972604221 Denise M. Mammolito Surgery 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 2006-09-26
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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235760406 Star Surgery Center, LLC Surgery 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 2020-01-28
1093008237 Jordan J Glenn Surgery 6750 W Thunderbird Rd Ste B-108, Peoria, AZ 85381-5026 2011-05-20
1023207131 Comprehensive Breast Center of Arizona Plc Surgery 9179 W Thunderbird Rd # 103, Peoria, AZ 85381-4875 2007-10-15
1659589653 Matthew Lawrence Lynch Surgery 26900 N Lake Pleasant Pkwy, Peoria, AZ 85383-1558 2007-05-21
1457480063 Lorin Dixon Whittaker Jr. Surgery 624 Ne Glen Oak Ave, 2686, Peoria, IL 61603-3135 2007-03-02
1639132087 Brian Edward Prebil Surgery 14155 N. 83rd Ave., Ste. A-105, Peoria, AZ 85381 2006-04-07
1073584470 Eric L Thomas Surgery 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 2006-02-01
1801874565 Maqbool B Ali Surgery 4930 N Executive Dr, Peoria, IL 61614-4894 2006-01-04
1518956465 Leann Cari Allgood Surgery 9159 W Thunderbird Rd, Peoria, AZ 85381-4910 2005-10-13
1225037310 John J Brothwell Surgery 9856 W Villa Lindo Dr, Peoria, AZ 85383-1339 2005-07-20
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Competitor

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City PEORIA
Zip Code 61606

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Dataset Information

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.

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