THOMAS BREWER (NPI# 1316320559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316320559 |
| Entity Type | Individual |
| Full Name | THOMAS BREWER |
| Practice Address |
3248 Vandever Ave Pekin IL 61554-6257 |
| Practice Telephone | 3093475579 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598010191 | Thomas Lee Brewer | Physician Assistant | 16203 Galloping Oak Knl, Selma, TX 78154 | 2012-07-19 |
| 1225395569 | Thomas Stephen Brewer | Emergency Medical Technician, Basic | 63 Celantano Dr, Naugatuck, CT 06770-5214 | 2012-04-11 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033323563 | Thomas Gerald Brewer | Psychologist | 3200 W. Liberty Rd., Suite A, Ann Arbor, MI 48103-9794 | 2007-05-10 |
| 1952453516 | Thomas Jon Brewer | Dentist | 1023 Robertson St, Fort Collins, CO 80524-3926 | 2007-01-16 |
| 1659437747 | Thomas James Brewer | Psychologist | 9900 Sw Wilshire St Ste 230, Portland, OR 97225-5043 | 2006-12-31 |
| 1417575622 | Thomas Anderson Brewer | Psychologist | 160 Commonwealth Ave, Suite U3, Boston, MA 02116 | 2020-07-14 |
| 1669603882 | Thomas Edward Brewer | Pharmacist | 2268 E Harmony Rd, Fort Collins, CO 80528-3412 | 2009-08-05 |
| 1497961130 | Thomas Alan Brewer | Anesthesiology | 7500 S 91st St, Lincoln, NE 68526-9437 | 2007-05-16 |
| 1770681777 | Thomas J Brewer | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-09-21 |
| Street Address |
3248 VANDEVER AVE |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588792 | Randall S Tennis | Counselor | 3248 Vandever Ave, Pekin, IL 61554 | 2006-04-18 |
| 1982205050 | Morgan Fulton-gorham | Social Worker | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1750982823 | Tanya Tanguay | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1942801006 | Stacey Day | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1144821208 | Danny Roscoe Callahan | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1528669686 | Kathryn Dorsey Yesis | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1649871799 | Francis Joseph Zammuto | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1609476134 | Andrew Duckworth | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-26 |
| 1396344065 | Austin Lair | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-22 |
| 1396379970 | Taylor Harrison | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094874 | Crossroads Programs, Inc. | Counselor | 420 Walnut St, Pekin, IL 61554-4550 | 2013-11-22 |
| 1508824137 | Jessica Lynn Howard | Counselor | 1421 Valle Vista, Pekin, IL 61554 | 2006-05-03 |
| 1366400806 | Caterina Nicole Richardson | Counselor | 3248 Vandever Avenue, Pekin, IL 61554 | 2006-05-03 |
| 1003874900 | Renee R Lawson | Counselor | 1423 Valle Vista, Pekin, IL 61554 | 2006-05-02 |
| 1669437281 | Timothy Michael Lamb | Counselor | 3248 Vandever, Pekin, IL 61554 | 2006-04-18 |
| 1699730200 | Christine Mary Ohara | Counselor | 1425 Valle Vista, Pekin, IL 61554 | 2006-04-18 |
| 1134184849 | David Vondoehren | Counselor | 2007 Independence Dr, Pekin, IL 61554-1928 | 2006-04-18 |
| 1508821125 | Jolynn S Barrett | Counselor | 1423 Valle Vista Blvd, Pekin, IL 61554-6223 | 2006-04-18 |
| 1649871799 | Francis Joseph Zammuto | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-11-05 |
| 1609476134 | Andrew Duckworth | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6274 | 2020-10-26 |
| Find all providers in PEKIN | ||||
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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.