DR. JAMES J KLEMENS (NPI# 1508065558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508065558 |
| Entity Type | Individual |
| Full Name | DR. JAMES J KLEMENS |
| Credential | M.D. |
| Practice Address |
7301 N Knoxville Ave Peoria IL 61614-2017 |
| Practice Telephone | 3095895900 |
| Practice Fax Number | 3096834120 |
| Mailing Telephone | 3095895900 |
| Mailing Fax Number | 3096834120 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619070554 | James Joseph Klemens | Dentist | 8516 Preston Hwy, Louisville, KY 40219-5302 | 2006-09-06 |
| 1952570947 | James Klemens | Audiologist-Hearing Aid Fitter | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2008-02-25 |
| Street Address |
7301 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916428 | Ira David Uretzky | Otolaryngology | 7301 N Knoxville Ave, Peoria Ear Nose & Throat, Peoria, IL 61614-2017 | 2005-07-18 |
| 1417557703 | Jessica Salim | Physical Medicine & Rehabilitation | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-10-27 |
| 1578176418 | Jennifer Anne Meyer | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-30 |
| 1134739931 | Jacey Gail Hoekstra | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-06 |
| 1700431160 | Sawyer T Milam | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2019-08-02 |
| 1861967234 | Nora Ashley Corll Martin | Audiologist-Hearing Aid Fitter | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2018-10-11 |
| 1467576660 | Katherine D Wyman | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2007-03-16 |
| 1194888677 | Facial Plastic & Laser Surgery | Clinic/Center | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-12-18 |
| 1366456527 | Jill Anne Pruvost | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-07-27 |
| 1336181189 | Christopher D Lansford | Otolaryngology | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-06-12 |
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| 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 |
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| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707578 | James Curtis Hertenstein | Otolaryngology | 8600 N State Rt 91, Ste 300, Peoria, IL 61615 | 2006-02-02 |
| 1720050982 | Michael Joseph Gootee | Otolaryngology | 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 | 2006-02-02 |
| 1184696460 | Robert Thomas Parrish | Otolaryngology | 8600 N State Rt 91, Ste 300, Peoria, IL 61615 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646745 | Peter Anthony Brusca | Otolaryngology | 1310 N Ritchie Ct, 29b, Chicago, IL 60610-2168 | 2011-10-19 |
| 1942310081 | Parkview Ear, Nose & Throat Clinic, S.c. | Otolaryngology | 112 Park Ridge Ln, Pekin, IL 61554-3900 | 2006-08-30 |
| 1720068695 | Fazlur R. Zahurullah | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-01-18 |
| 1982609103 | Gordon J Siegel | Otolaryngology | 3 E Huron St, Fl 1, Chicago, IL 60611-2887 | 2005-06-15 |
| 1467816918 | Smart Sinus and Allergy Florida LLC | Otolaryngology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2016-04-11 |
| 1962880419 | Richard Kao | Otolaryngology | 1611 W Harrison St, Chicago, IL 60612-4861 | 2015-05-15 |
| 1194163139 | Finn R. Amble, M.d. F.a.c.s., S.c | Otolaryngology | 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 | 2013-06-12 |
| 1861731689 | Hosseinali Jafari | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2013-02-14 |
| 1467601583 | Muthuswamy Dhiwakar | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2008-09-12 |
| 1417096090 | Nathan David Joos | Otolaryngology | 1025 S 6th St, Springfield, IL 62703-2403 | 2007-02-06 |
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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.