KEIRSTIN A MOTT


Address: 303 N William Kumpf Blvd, Peoria, IL 61605-2507
Phone: 3096765546

KEIRSTIN A MOTT (NPI# 1578870440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578870440
Entity Type Individual
Full Name KEIRSTIN A MOTT
Credential PA-C
Practice Address 303 N William Kumpf Blvd
Peoria
IL 61605-2507
Practice Telephone 3096765546
Mailing Telephone 3096765546
Enumeration Date 2010-09-13
Last Update Date 2010-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 303 N WILLIAM KUMPF BLVD
City PEORIA
State IL
Zip Code 61605-2507

Providers in the same location

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
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
1558501106 Brian Staniszewski Physical Therapist 303 N William Kumpf Blvd, Peoria, IL 61605-2507 2009-02-23
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275148280 Patricia Miriam Rus Physician Assistant 23615 N 105th Dr, Peoria, AZ 85383-1195 2020-09-15
1083235154 Katlyn Coyer Physician Assistant 900 Main St Ste 530, Peoria, IL 61602-1005 2020-04-30
1114586690 Courtney A Hitpas Physician Assistant 3120 N Bigelow St, Peoria, IL 61604-1628 2019-06-10
1689137671 Jeffrey Benjamin Miessau Physician Assistant 7707 N Knoxville Ave Ste 200, Peoria, IL 61614-2020 2019-04-08
1417413337 Michelle Nemeh Physician Assistant 6760 W Thunderbird Rd Ste 100, Peoria, AZ 85381-5048 2019-02-15
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1962977538 Ashley Deyoung Physician Assistant 13943 N 91st Ave Ste F101, Peoria, AZ 85381-3689 2018-10-09
1326557141 Melissa L. Kingston Physician Assistant 13760 N 93rd Ave Ste 201, Peoria, AZ 85381-4200 2017-09-25
1396196465 Ayla Diamond Physician Assistant 9165 W Thunderbird Rd Ste 200, Peoria, AZ 85381-4847 2016-06-29
1336530948 Carolina C. Castro Physician Assistant 13128 N. 94th Drive, Suite 100, Peoria, AZ 85381-4252 2015-02-18
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61605

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Dataset Information

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.

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