ROBERT J MITCHELL (NPI# 1467491092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467491092 |
| Entity Type | Individual |
| Full Name | ROBERT J MITCHELL |
| Credential | D.O. |
| Practice Address |
920 West St Ste 211 Peru IL 61354-2763 |
| Practice Telephone | 8152232143 |
| Mailing Telephone | 8152232143 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036096898 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036096898 | 05 | |
| IL | CIGNA | 4119029001 | 01 |
| IL | RAILROAD MEDICARE | 200039264 | 01 |
| IL | AETNA | 7872232 | 01 |
| IL | HEALTH ALLIANCE | 005723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084032 | Robert Alfred Mitchell | Internal Medicine | 1425 Madison Ave Rm 1170, New York, NY 10029-6514 | 2019-07-11 |
| 1467004648 | Robert Lee Mitchell Jr. | Counselor | 3326 Mather Field Rd, Rancho Cordova, CA 95670-5966 | 2019-07-09 |
| 1508231978 | Robert Jason Mitchell | Specialist | 950 15th St Rm 3c164, Augusta, GA 30901-2608 | 2015-12-10 |
| 1871839670 | Robert M. Mitchell | Anesthesiology | 21345 Amora, Mission Viejo, CA 92692-4932 | 2012-12-25 |
| 1750660643 | Robert A Mitchell | Pharmacist | 10817 W Highway 71, Second Floor, Austin, TX 78735-9609 | 2011-08-09 |
| 1033497441 | Robert D Mitchell | Internal Medicine | 11761 Almond Ct, Loma Linda, CA 92354-3640 | 2011-08-02 |
| 1922313758 | Robert Mitchell IIi | Driver | 1435 Bristlecone Dr, O Fallon, IL 62269-2559 | 2010-08-17 |
| 1396903670 | Robert Ben Mitchell | General Practice | 16375 Ne 18th Ave, Suite 310, North Miami Beach, FL 33162-4753 | 2008-05-23 |
| 1003026303 | Robert Mitchell | Psychologist | 1059 Alameda De Las Pulgas, Belmont, CA 94002-3507 | 2007-05-23 |
| 1831257443 | Robert B Mitchell | Optometrist | 10515 N Oracle Rd, Ste 145, Oro Valley, AZ 85737-9378 | 2006-12-05 |
| Street Address |
920 WEST ST STE 211 |
| City | PERU |
| State | IL |
| Zip Code | 61354-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114939 | Mark Allen Fernandez | Internal Medicine | 920 West St, Ste 311, Peru, IL 61354-2770 | 2005-06-16 |
| 1386199511 | Jennifer Leeann Olesen | Nurse Practitioner | 920 West St, Suite #311, Peru, IL 61354-2763 | 2016-08-17 |
| 1851764369 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 311, Peru, IL 61354-2763 | 2015-11-05 |
| 1598138000 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Bldg B, Peru, IL 61354-2763 | 2015-11-05 |
| 1831521947 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Sutie 312, Peru, IL 61354-2763 | 2013-07-31 |
| 1467884650 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 312, Peru, IL 61354-2763 | 2013-07-30 |
| 1073871893 | Ram L & Neelam Goel Ptr | Internal Medicine | 920 West St, Suite 116, Peru, IL 61354-2763 | 2012-04-30 |
| 1912295270 | Illinois Valley Community Hospital | Family Medicine | 920 West St, Suite 311, Peru, IL 61354-2763 | 2011-07-20 |
| 1710281787 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 216, Peru, IL 61354-2763 | 2011-01-05 |
| 1699005678 | Angela Marie Vezzetti | Physician Assistant | 920 West St, Suite 312, Peru, IL 61354-2763 | 2010-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631592 | Connor Kasik | Orthopaedic Surgery | 920 West St Ste 211, Peru, IL 61354-2769 | 2013-02-17 |
| 1013986926 | Gregory A Konrath | Orthopaedic Surgery | 285 W 12th St, Ste 106, Peru, IN 46970-1653 | 2006-03-14 |
| 1922114040 | Jason Allan Bergandi | Orthopaedic Surgery | 4231 Progress Blvd, 4, Peru, IL 61354-1193 | 2006-08-22 |
| 1043250459 | Peter J Meier | Orthopaedic Surgery | 920 West St, Ste 211, Peru, IL 61354-2763 | 2006-06-07 |
| 1710935325 | Charles R Kershner | Orthopaedic Surgery | 285 W 12th St, 106, Peru, IN 46970-1653 | 2006-05-05 |
| 1073578662 | William Pohnert | Orthopaedic Surgery | 285 W 12th St, Ste. 106, Peru, IN 46970-1653 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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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.