DR. KATIE MICHELLE STAPLETON (NPI# 1578186839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578186839 |
| Entity Type | Individual |
| Full Name | DR. KATIE MICHELLE STAPLETON |
| Credential | DO |
| Practice Address |
Osf St Francis Medical Center 530 Ne Glen Oak Avenue Peoria IL 61637-0001 |
| Mailing Address |
3306 Brittany Cir Bloomington IL 61704-8365 |
| Practice Telephone | 3096552274 |
| Mailing Telephone | 3092421112 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125.076594 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
OSF ST FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE |
| City | PEORIA |
| State | IL |
| Zip Code | 61637-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1174184527 | Manisha Tharoor | Student in an Organized Health Care Education/Training Program | 530 N.e Glen Oak Ave, Peoria, IL 61637 | 2019-06-26 |
| 1609436724 | Sriviji Senthil Kumaran | Student in an Organized Health Care Education/Training Program | 530. N.e Glen Oak Ave., Peoria, IL 61637 | 2019-06-20 |
| 1780240929 | Abuzar Ali Asif | Student in an Organized Health Care Education/Training Program | 530 N. E. Glen Oak Ave., Peoria, IL 61637 | 2019-05-14 |
| 1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1326244682 | Maria S. Parr | Psychiatry & Neurology | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 |
| Find all providers in zip 61637 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1760042162 | Paulette Padilla | Pediatrics | 3128 N Linnhill Ct, Peoria, IL 61604-1650 | 2019-06-18 |
| 1942799465 | Khaled Faisal Abdul Rahman | Pediatrics | 530 Ne Glen Oak Ave Bldg 5th, Peoria, IL 61637-0001 | 2018-05-10 |
| 1356859128 | Pleasant Pediatrics Plc | Pediatrics | 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 | 2018-01-16 |
| 1427408863 | Josef Newman | Pediatrics | 5654 N Building, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-16 |
| 1962856054 | Brittany Nichole Vaio | Pediatrics | 9059 W Lake Pleasant Pkwy Suite E-540, Peoria, AZ 85382 | 2016-04-15 |
| 1790025591 | Pleasant Pediatrics Plc | Pediatrics | 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 | 2013-02-15 |
| 1629365424 | May C Sun | Pediatrics | 2401 W Alta Rd Apt 905, Peoria, IL 61615-1290 | 2011-06-30 |
| 1205064003 | Sandhya Chaudhari | Pediatrics | 530 Ne Glran Oak Ave, Peoria, IL 61637-0001 | 2009-06-30 |
| 1477742807 | Pleasant Pediatrics Plc | Pediatrics | 9059 W Lake Pleasant Pkwy Ste 540, Peoria, AZ 85382-8363 | 2007-10-22 |
| Find all providers in PEORIA | ||||
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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.