DR. STUART PEISS (NPI# 1427092055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427092055 |
| Entity Type | Individual |
| Full Name | DR. STUART PEISS |
| Credential | D.P.M. |
| Practice Address |
2003 W Fulton St Ste 303 Chicago IL 60612 |
| Mailing Address |
2003 W Fulton St Ste 303 Chicago IL 60612-2345 |
| Practice Telephone | 3122432223 |
| Mailing Telephone | 3122432223 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2005039419 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 873-025 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 016-004762 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1427092055 | 05 | |
| TX | 326857502 | 05 | |
| TX | RAILROAD MEDICARE | P01288996 | 01 |
| MO | RAILROAD MEDICARE | P01424200 | 01 |
| IL | RAILROAD MEDICARE | P00022949 | 01 |
| IN | 300004417 | 05 | |
| TX | 326857501 | 05 | |
| WI | RAILROAD MEDICARE | P00625592 | 01 |
| WI | 43235800 | 05 | |
| TX | 326857503 | 05 | |
| IL | 016004762 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Skokie Blvd Ste 520, Northbrook, IL 600621601 | 8475045000 | 8475045015 |
| Street Address |
2003 W FULTON ST STE 303 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182273 | Emmanuel Gonzalez | Psychologist | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2020-07-29 |
| 1245857762 | Kellie Denniston Frissora | Nurse Practitioner | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2020-06-30 |
| 1871119065 | Vanessa Torres Garcia | Psychologist | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2020-06-23 |
| 1437796133 | Skaiste Tarnauskas | Family Medicine | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2019-12-02 |
| 1750927661 | Azeezat Omotoyosi Adeduntan | Nurse Practitioner | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2019-11-26 |
| 1588138416 | Lovely William George | Nurse Practitioner | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2019-01-14 |
| 1124513080 | Monica Lisa Bieszczad | Nurse Practitioner | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2018-06-24 |
| 1881014793 | Sharon Hayes | Nurse Practitioner | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2014-04-17 |
| 1285811166 | Maria T Perez | Family Medicine | 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1770004814 | Andrew Alward | Podiatrist | 2027 W Division St # 180, Chicago, IL 60622-9024 | 2017-06-28 |
| 1043730625 | Mary Elizabeth Hickner | Podiatrist | 2751 W Winona St Apt 457, Chicago, IL 60625-2508 | 2017-06-23 |
| 1225489172 | Alison Dawn Traffanstedt Young | Podiatrist | 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 | 2016-06-22 |
| 1922454131 | Mary Cobb | Podiatrist | 1428 E 69th St, Chicago, IL 60637-4804 | 2016-05-05 |
| 1407233760 | Aaron Raestas | Podiatrist | 730 S Dearborn St # T, Chicago, IL 60605-1838 | 2015-05-06 |
| Find all providers in CHICAGO | ||||
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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.