MUSCULOSKELETAL SURGERY CENTER, LLC


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

MUSCULOSKELETAL SURGERY CENTER, LLC (NPI# 1811220650) 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) 1811220650
Entity Type Organization
Organization Name MUSCULOSKELETAL SURGERY CENTER, LLC
Other Organization Name GREAT PLAINS, LLC
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 2009-09-11
Last Update Date 2009-09-11
Authorized Official Name MRS. JANET E SMITH (CHIEF OPERATING OFFICER)
Authorized Official Telephone 3096765546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
7003146 IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Great Plains, LLC Doing Business As Name - Organization

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
1578870440 Keirstin A Mott Physician Assistant 303 N William Kumpf Blvd, Peoria, IL 61605-2507 2010-09-13
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
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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 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1750929949 Banner Physician Specialists Arizona LLC Clinic/Center 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 2019-12-18
1154822369 Regenerative Foot & Ankle LLC Clinic/Center 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 2018-02-22
1992829485 Cardinal Medical Group, Ltd. Clinic/Center 6339 N Big Hollow Rd, Peoria, IL 61615-2907 2007-03-19
1750347936 Banner Arizona Medical Clinic Ltd Clinic/Center 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2006-04-25

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1316563000 Milestones Behavioral Health Services Clinic/Center 939 Georgetowne Dr, O Fallon, IL 62269-3414 2020-06-18
1689299257 Precision Immediate Care and Medical Center, LLC Clinic/Center 3520 W North Ave, Stone Park, IL 60165-1042 2020-06-10
1013536663 Katrina Lake Md LLC Clinic/Center 18503 Bellamy Rd, Country Club Hills, IL 60478-5279 2020-04-14
1558995779 Signature Medical Clinic LLC Clinic/Center 2020 Dean St Ste G, St Charles, IL 60174-1665 2020-02-26
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1104460922 Infinite Care Home Physicians LLC Clinic/Center 6044 N Nassau Ave, Chicago, IL 60631-2649 2019-11-05
1962051607 Wilkes Post Acute Care Inc Clinic/Center 400 W 76th St Ste 303, Chicago, IL 60620-1640 2019-09-05
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Competitor

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City PEORIA
Zip Code 61605

Improve Information

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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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