CARDIOSOM, LLC (NPI# 1407073182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407073182 |
| Entity Type | Organization |
| Organization Name | CARDIOSOM, LLC |
| Other Organization Name | CARDIOSOM OF PEORIA |
| Practice Address |
5405 N Knoxville Ave Suite 3 Peoria IL 61614-5016 |
| Mailing Address |
615 W Carmel Dr Suite 100 Carmel IN 46032-2996 |
| Practice Telephone | 3095891180 |
| Practice Fax Number | 3095891189 |
| Mailing Telephone | 8008681920 |
| Mailing Fax Number | 8008681908 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | MR. KEVIN GREISL (COOPRESIDENT) |
| Authorized Official Telephone | 3177061080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
IL | Suppliers |
| Other Name | Type Code |
|---|---|
| CardioSom of Peoria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285875732 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1397 N Baldwin Ave, Marion, IN 46952-1913 | 2009-03-13 |
| 1508018805 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1974 Sproul Rd, Broomall, PA 19008-3400 | 2008-10-17 |
| 1487815627 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 1 Oxford Ctr, 301 Grant St. Suite 4300, Pittsburgh, PA 15219-1400 | 2008-06-20 |
| 1114188349 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 124 Abbie Ave, Kansas City, KS 66103-1304 | 2008-06-20 |
| 1891956033 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 155 Ne 2nd Ave, Deerfield Beach, FL 33441-3505 | 2008-06-20 |
| 1033370275 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 8338 Sterling St, Irving, TX 75063-2593 | 2008-06-20 |
| 1003077231 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 2151 Consulate Dr, Unit 20, Orlando, FL 32837-8807 | 2008-06-20 |
| 1316108558 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 4109 Stuart Andrew Blvd, Suite J, Charlotte, NC 28217-4621 | 2008-06-20 |
| 1649430083 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 981 Keynote Cir, Suite 20, Brooklyn Heights, OH 44131-1842 | 2008-06-10 |
| 1992993992 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 111 Troy St, Suite C, Tupelo, MS 38804 | 2007-10-04 |
| Street Address |
5405 N KNOXVILLE AVE SUITE 3 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336214 | Tinoy Kizhakekuttu | Internal Medicine | 5405 N Knoxville Ave, Heartcare Midwest, Peoria, IL 61614-5016 | 2006-02-17 |
| 1750920039 | Moriah Johnson | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2020-01-03 |
| 1942859681 | Amy Underwood Fallings | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2019-09-05 |
| 1912473273 | Tien T Pham | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2018-10-15 |
| 1396254728 | Karen C Knaak | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2017-09-28 |
| 1720455611 | Elizabeth Schwandner | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2015-08-26 |
| 1558707182 | Osf Heart & Vascular Institute | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2013-05-22 |
| 1528318128 | Rebecca Wigant | Nurse Practitioner | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2012-09-12 |
| 1588999700 | Heather B Martin | Physician Assistant | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2009-10-06 |
| 1285876607 | Ekanka Mukhopadhyay | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2009-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245644905 | The Pulmonary Place | Durable Medical Equipment & Medical Supplies | 12411 N 87th Dr, Peoria, AZ 85381-8127 | 2014-06-20 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| 1326217902 | Sun Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 9299 W Olive Ave, Suite 305, Peoria, AZ 85345-8379 | 2008-02-27 |
| 1043223290 | Galesburg Home Care Corporation | Durable Medical Equipment & Medical Supplies | 7800 N Sommer St, Suite 303, Peoria, IL 61615-1934 | 2006-08-15 |
| 1366475683 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 8550 N 91st Ave, Bldg H, Suite 85-89, Peoria, AZ 85345-8311 | 2006-07-09 |
| 1902855836 | Belcrest Services Ltd | Durable Medical Equipment & Medical Supplies | 900 Main St Ste 130, Peoria, IL 61602-5001 | 2006-05-08 |
| 1407184898 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 2201 W Townline Rd, Ste F, Peoria, IL 61615-1565 | 2009-11-24 |
| 1316183619 | Polyclinic Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 9299 W Olive Ave, Ste 306, Peoria, AZ 85345 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699026 | First Choice Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 65 S 65th St Ste 10, Belleville, IL 62223-2946 | 2020-11-04 |
| 1619596624 | Gz Service Inc | Durable Medical Equipment & Medical Supplies | 576 Jennifer Cir, Mundelein, IL 60060-4110 | 2020-04-09 |
| 1528690526 | Nationwide Medical, Inc. | Durable Medical Equipment & Medical Supplies | 415 W Golf Rd Ste 48, Arlington Heights, IL 60005-3923 | 2020-02-07 |
| 1477024347 | Karma7 Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1840 Industrial Dr Ste 160, Libertyville, IL 60048-9400 | 2018-12-17 |
| 1700354354 | True Respiratory Care & Medical Management LLC | Durable Medical Equipment & Medical Supplies | 11415 183rd Pl Ste B, Orland Park, IL 60467-5011 | 2018-11-12 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1487103560 | The Elms | Durable Medical Equipment & Medical Supplies | 1212 Madelyn Ave, Macomb, IL 61455-3324 | 2016-09-29 |
| 1457807257 | Genventures Inc | Durable Medical Equipment & Medical Supplies | 101 S. College Avenue, Aledo, IL 61231-1630 | 2016-08-31 |
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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.