DR. JEFFREY R GARST (NPI# 1518967850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518967850 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY R GARST |
| Credential | M.D. |
| Practice Address |
303 N William Kumpf Blvd Peoria IL 61605-2507 |
| Practice Telephone | 3096765546 |
| Practice Fax Number | 3096765045 |
| Mailing Telephone | 3096765546 |
| Mailing Fax Number | 3096765045 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
036077623 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36077623 | 05 |
| Street Address |
303 N WILLIAM KUMPF BLVD |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441644 | Mark R Phillips | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2005-07-19 |
| 1285137653 | Valerie T Kale | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2018-03-13 |
| 1114475597 | Lindsey A. Johnston | Nurse Practitioner | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2016-09-14 |
| 1871945667 | Eric L. Pfeiffer | Nurse Practitioner | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2016-07-06 |
| 1588056881 | Jonathan Isaac Hochstetler | Specialist/Technologist | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2015-02-23 |
| 1043552227 | Keith Thomas Corpus | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605 | 2013-03-26 |
| 1912251653 | Adam Kyle Jelinek | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2012-11-02 |
| 1578870440 | Keirstin A Mott | Physician Assistant | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2010-09-13 |
| 1811220650 | Musculoskeletal Surgery Center, LLC | Clinic/Center | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2009-09-11 |
| 1689817371 | Maryelizabeth Tyler Rashid | Specialist | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2009-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1164507190 | Canyon Orthopaedic Surgeons, A Division of Osna, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Ste E110, Peoria, AZ 85381-5048 | 2006-10-26 |
| 1255721502 | Peoria Hand Surgery, LLC | Orthopaedic Surgery | 5401 N Knoxville Ave, Suite 107, Peoria, IL 61614-5098 | 2015-01-26 |
| 1295044964 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Suite E110, Peoria, AZ 85381-5048 | 2010-09-29 |
| 1013170232 | Tanay J Amin | Orthopaedic Surgery | 9165 W Thunderbird Rd, Suite 200, Peoria, AZ 85381-4847 | 2008-07-08 |
| 1518906544 | Paul S Mahoney | Orthopaedic Surgery | 7972 W Thunderbird Rd, Suite 104, Peoria, AZ 85381-4903 | 2006-06-05 |
| 1013984970 | Thimmavajjhala Sreecharana | Orthopaedic Surgery | 13260 N 94th Dr, Suite 101, Peoria, AZ 85381-4828 | 2006-02-28 |
| 1104812155 | James R Williams | Orthopaedic Surgery | 6000 N Allen Road, Peoria, IL 61614-3294 | 2005-09-26 |
| 1255331567 | Gregory John Adamson | Orthopaedic Surgery | 5401 N. Knoxville Ave., Suite 107, Peoria, IL 61614 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1639692973 | Oa Associated LLC | Orthopaedic Surgery | 1414 Cross St Ste 110, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1932376092 | Felicity Fishman | Orthopaedic Surgery | 2160 S 1st Ave Ste 1700, Maywood, IL 60153-3328 | 2008-05-08 |
| 1548466725 | Emily Anne Gilley | Orthopaedic Surgery | 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 | 2007-06-25 |
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1679798565 | Michael Victor Birman | Orthopaedic Surgery | 515 W Algonguin Rd., Hand Surgery Associates, S.c., Arlington Heights, IL 60005 | 2007-04-16 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1992871347 | Marko F Krpan | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2006-11-28 |
| 1841383031 | Scott D Sagerman | Orthopaedic Surgery | 515 W Algonquin Rd, Ste 120, Arlington Heights, IL 60005-4405 | 2006-10-02 |
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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.