SHARI S MULVEY (NPI# 1871026450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871026450 |
Entity Type | Individual |
Full Name | SHARI S MULVEY |
Other Name | SHARI S STIMER |
Credential | MD |
Practice Address |
420 Ne Glen Oak Ave Peoria IL 61603-3105 |
Practice Telephone | 8886275673 |
Practice Fax Number | 3096835669 |
Mailing Telephone | 8886275673 |
Mailing Fax Number | 3096835669 |
Enumeration Date | 2017-04-10 |
Last Update Date | 2017-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 036-091498 | IL | Allopathic & Osteopathic Physicians |
Street Address |
420 NE GLEN OAK AVE |
City | PEORIA |
State | IL |
Zip Code | 61603-3105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427057595 | David P Chan | Pediatrics | 420 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2005-07-20 |
1164062196 | Tiara J Mullen | Nurse Practitioner | 420 Ne Glen Oak Ave, Peoria, IL 61603-3106 | 2020-01-07 |
1700308996 | Amanda Matthews | Nurse Practitioner | 420 Ne Glen Oak Ave, Peoria, IL 61603 | 2017-07-10 |
1003268897 | Sandra L. Peach | Nurse Practitioner | 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 | 2016-07-06 |
1083062285 | Heather A Boore | Clinical Nurse Specialist | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 | 2016-05-27 |
1336546969 | Jennifer A. Nelson | Nurse Practitioner | 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603-3105 | 2014-11-25 |
1003219932 | Linda Schmidgall | Nurse Practitioner | 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-3105 | 2014-10-07 |
1164839692 | Gregory Puszkiewicz | Pharmacist | 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 | 2014-07-16 |
1396183687 | Diana Warnecke | Nurse Practitioner | 420 Ne Glen Oak Ave, Ste 401, Peoria, IL 61603-3105 | 2013-06-07 |
1386081792 | Children's Hospital of Illinois Medical Group | Pediatrics | 420 Ne Glen Oak Ave, Ste 301, Peoria, IL 61603-3105 | 2013-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
Find all providers in zip 61603 |
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 |
1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
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 |
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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.