SARAH ELIZABETH PARKER (NPI# 1699937888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699937888 |
| Entity Type | Individual |
| Full Name | SARAH ELIZABETH PARKER |
| Credential | M.D. |
| Practice Address |
530 Ne Glen Oak Ave Peoria IL 61637-0001 |
| Mailing Address |
100 District Ct East Peoria IL 61611-1410 |
| Practice Telephone | 3096552000 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
40123 | SC | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
00000000000 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 401238 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520406 | Sarah Parker | Acupuncturist | 1707 Fm 1960, Suite D, Humble, TX 77338-9998 | 2020-02-21 |
| 1568978567 | Sarah Jane Parker | Marriage & Family Therapist | 78150 Calle Tampico Ste 200i, La Quinta, CA 92253-7406 | 2017-12-28 |
| 1841643566 | Sarah Parker | Case Manager/Care Coordinator | 9405 Dabney Dr, Sutherland, VA 23885-9278 | 2016-07-18 |
| 1063863645 | Sarah Jeanette Parker | Nurse Practitioner | 4651 Historic Old Highway 441, Clarkesville, GA 30523-2406 | 2016-06-25 |
| 1891100988 | Sarah Parker | Nurse Practitioner | 301 South O'kelly Avenue, Rn Ellington Center for Health and Wellness, Elon, NC 27244 | 2014-06-26 |
| 1316253230 | Sarah Marcilynn Parker | Dietitian, Registered | 126 Princess Dr, Monroe, LA 71203-2952 | 2010-08-30 |
| 1578755260 | Sarah Parker | Psychiatry & Neurology | 906 Broad St, Durham, NC 27705-4142 | 2007-08-16 |
| 1457388530 | Sarah A Parker | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2006-06-26 |
| 1861489460 | Sarah C Parker | Optometrist | 101 E Shepardson St, Princeton, KY 42445-1633 | 2005-09-29 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| Street Address |
530 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61637-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235777 | Jack Michael Gibson | Obstetrics & Gynecology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2005-09-12 |
| 1053912188 | Janie Clary | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-11-04 |
| 1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
| 1033726831 | Corry Lynn Rediger | Occupational Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-25 |
| 1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
| 1568074474 | Amanda Diane Beoletto | Pharmacist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-08-21 |
| 1881212892 | Mohammad Mousbah Al-tabbaa | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1750909693 | Mohammad Gareeb | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-07-07 |
| 1376160846 | Bassel Elia Abouzeid | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637 | 2020-07-01 |
| 1700403516 | Christina Marie Spurgeon | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-06-26 |
| Find all providers in the same location | ||||
| 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 | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194105056 | Sebastian Urday | Psychiatry & Neurology | 259 E Erie St Ste 1900, Chicago, IL 60611-3246 | 2015-06-05 |
| 1023403565 | Gabriela Trifan | Psychiatry & Neurology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-04-01 |
| 1619382355 | Chike Augustine Ilorah | Psychiatry & Neurology | 3635 Vista Avenue, Desloge Tower, 14th Floor, Suite 14032, Saint Louis, IL 63110 | 2014-06-20 |
| 1962781559 | Deepa Bhupali | Psychiatry & Neurology | 1801 W Taylor St, Chicago, IL 60612-2401 | 2011-08-12 |
| 1699003418 | Qingliang Tony Wang | Psychiatry & Neurology | 611 W Park St, Neurology, Urbana, IL 61801-2529 | 2009-12-07 |
| 1437342870 | Naim Khoury | Psychiatry & Neurology | 421 N 9th St, Springfield, IL 62702-5317 | 2007-08-20 |
| 1649340530 | Richard Ely Burgess | Psychiatry & Neurology | 1890 Silver Cross Blvd, New Lenox, IL 60451 | 2006-11-08 |
| 1669444683 | Edward M Manno | Psychiatry & Neurology | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2006-02-03 |
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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.