National Provider Identifier (NPI)
PEORIA


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

PEORIA · 4909 N GLEN PARK PLACE RD · Search Result

NPI Name Taxonomy Address Enumeration
1174599260 Chen Wang Pathology 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-02-27
1790180164 Sara Snarr Nurse Practitioner 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2014-10-28
1700209160 Sarah Christensen Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2014-01-21
1134481054 Nour Almardini Pathology 4909 N Glen Park Place Rd, Peoria, IL 61614-4689 2012-06-15
1922313238 Stephanie M Ellis Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2010-08-11
1245490382 Tesfu Hailu Dermatology 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2008-06-12
1477743813 Michelle L Roth Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2007-08-01
1073655676 James Murray Jeffries IIi Surgery 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2007-02-12
1912017245 Michael L Hayes Dermatology 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-08-30
1871506931 John R Soderstrom Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-08-13
1710931670 Soderstrom Dermatology Center S C Pathology 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-05-22
1083668461 Joy M Watson Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-05-20
1053362343 Soderstrom Dermatology Center S C Clinic/Center 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-05-12
1053370759 Carl William Soderstrom Jr. Dermatology 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-03-21
1093774705 Stuart Holland Berryman Physician Assistant 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-03-21
1417923517 John E Lomax Plastic Surgery 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 2006-02-27