PATRICIA A DETERS (NPI# 1972539575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972539575 |
| Entity Type | Individual |
| Full Name | PATRICIA A DETERS |
| Credential | M.D. |
| Practice Address |
2265 W Altorfer Dr Peoria IL 61615-1807 |
| Practice Telephone | 3096837700 |
| Practice Fax Number | 3096837752 |
| Mailing Telephone | 3096837700 |
| Mailing Fax Number | 3096837752 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036095780 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
036095780 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036095780 | 05 |
| Street Address |
2265 W ALTORFER DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346281425 | Saint Francis Medical Center | Home Health | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2006-06-09 |
| 1003469859 | Jaimie M Peterson | Social Worker | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2019-07-22 |
| 1205311644 | Sara Sychra | Nurse Practitioner | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2018-10-02 |
| 1942783386 | Katy Wayne Tinsman | Nurse Practitioner | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2018-09-12 |
| 1982142923 | Valerie Roland | Social Worker | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2017-02-10 |
| 1346788460 | Janelle M Calow | Social Worker | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2017-02-09 |
| 1851834196 | Megan Thibodeau | Nurse Practitioner | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2016-11-18 |
| 1265986574 | Jamie A Holocker | Nurse Practitioner | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2016-08-04 |
| 1598048456 | Laura A Youngman | Clinical Nurse Specialist | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2011-09-27 |
| 1366596850 | Susan Ruth Ukleja | Pharmacist | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516616 | Aspire Health Medical Partners of Illinois Sc | Internal Medicine | 25400 N Saint Marys Rd, Libertyville, IL 60048-9460 | 2014-03-18 |
| 1164686218 | Wilfredo Jose Romero Ubillus | Internal Medicine | 101 Madison St Ste 3, Oak Park, IL 60302 | 2008-07-17 |
| 1457566614 | Patricia Jean Ritzman | Internal Medicine | 410 S Hager Ave, Barrington, IL 60010-4107 | 2007-05-11 |
| 1609090448 | Richard Sloan Wilbur | Internal Medicine | 985 Hawthorne Pl, Lake Forest, IL 60045-2217 | 2007-04-12 |
| 1013039239 | Robert Lenet Md, Mai Phan Md, S.c | Internal Medicine | 150 E Huron St Ste 906, Chicago, IL 60611-2946 | 2007-04-06 |
| 1518906841 | Jenelyn Ching Lim | Internal Medicine | 1717 West Congress Pkwy, Suite 1125, Chicago, IL 60612 | 2006-06-05 |
| 1154371672 | Eytan Szmuilowicz | Internal Medicine | 233 E Superior St, Chicago, IL 60611-2913 | 2006-05-12 |
| 1235614926 | Alc Palliative and Hospice Care, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148-4881 | 2018-09-27 |
| 1023508769 | Stephanie Birmingham | Internal Medicine | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-05-17 |
| 1982083242 | Gina Marie Piscitello | Internal Medicine | 5841 S Maryland Ave, Room A700; Mc-7082, Chicago, IL 60637-1447 | 2015-05-20 |
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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.