MR. KEVIN M HENRY


Address: 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098
Phone: 3096927246

MR. KEVIN M HENRY (NPI# 1063490183) 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) 1063490183
Entity Type Individual
Full Name MR. KEVIN M HENRY
Credential MD
Practice Address 5401 N Knoxville Ave
Suite 416
Peoria
IL 61614-5098
Practice Telephone 3096927246
Practice Fax Number 3096927226
Mailing Telephone 3096927246
Mailing Fax Number 3096927226
Enumeration Date 2006-01-09
Last Update Date 2013-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 036114669 IL Allopathic & Osteopathic Physicians
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
036114669 IL Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
10492 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036114669 05

Other Providers KEVIN HENRY

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1003280165 Kevin Henry Physical Therapy Assistant 3420 Robin Rd, Manhattan, KS 66503-2218 2015-11-30
1033496906 Kevin Joseph Henry Specialist/Technologist 1 Webster Ave Ste 400, Poughkeepsie, NY 12601-1363 2011-11-07
1578694170 Kevin Charles Henry Dentist 7800 Ustick, Boise, ID 83704-5848 2007-03-08
1205032687 Kevin Michael Henry Family Medicine 1235 8th St, Las Vegas, NM 87701-4219 2007-06-22
1497816524 Kevin E. Henry Specialist 2525 Desales Avenue, Chattanooga, TN 37404 2006-12-13
1932281276 Kevin Robert Henry Podiatrist 6425 Old Plank Rd, Suite 109, High Point, NC 27265-3277 2006-10-19
1750370508 Kevin L Henry Physician Assistant 1635 N George Mason Dr, Arlington, VA 22205-3601 2005-10-14

Office Location

Street Address 5401 N KNOXVILLE AVE
SUITE 416
City PEORIA
State IL
Zip Code 61614-5098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871597450 Edward A Rufus Jr Internal Medicine 5401 N Knoxville Ave, Suite 306, Peoria, IL 61614-5098 2005-06-10
1366984015 Taylor Jeanette Simmons Specialist/Technologist 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 2016-11-11
1518416254 Illinois Regional Pain Institute Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-09-22
1700331030 Deb M Schleich Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-08-16
1154876498 Kimberly K Lopez Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-08-16
1417320854 Amy B Pheiffer Clinical Nurse Specialist 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 2015-11-06
1558732370 Leah Tabor Specialist/Technologist, Other 5401 N Knoxville Ave, Suite 117, Peoria, IL 61614 2015-10-20
1679944334 Midwest Pain & Spine Center, LLC Specialist 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2015-10-07
1124495379 Anne Webster Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2015-08-24
1720461353 Hometown Hearing & Audiology, Inc. Audiologist 5401 N Knoxville Ave, 116, Peoria, IL 61614-5011 2015-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346851276 Galaxy Anesthesia Services, LLC Anesthesiology 13660 N 94th Dr, D-1, Peoria, AZ 85381-8538 2020-08-13
1548882236 Sonoran Pain Specialists LLC Anesthesiology 13090 N 94th Dr Ste 212, Peoria, AZ 85381-4258 2020-05-15
1740802933 Arizona Anesthesia Specialists LLC Anesthesiology 9242 W Union Hills Dr Ste 100, Peoria, AZ 85382-8219 2020-05-11
1649759200 Sonoran Pain Consultants, Pllc Anesthesiology 13090 N 94th Dr Ste 212, Peoria, AZ 85381 2018-08-14
1518387109 Justin R. Ahlman, M.d. Anesthesiology 3322 W Willow Knolls Dr, Peoria, IL 61614-8148 2014-04-22
1588843619 James G. Priepot Anesthesiology 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 2007-10-25
1972509743 Bruce Bing Chien Anesthesiology 5401 N Knoxville Ave, Ste 212, Peoria, IL 61614-5021 2005-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538775770 Regenerative Pain & Spine LLC Anesthesiology 2122 W Devon Ave, Chicago, IL 60659-3581 2020-09-22
1215552880 Babu Prasad, Md Anesthesiology 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 2020-06-10
1093330516 Modern Pain Consultants Anesthesiology 1802 N Division St Ste 605, Morris, IL 60450-3133 2020-06-10
1255956777 Modern Pain Consultants Anesthesiology 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 2020-06-10
1144844036 Interventional Pain Medicine of Chicago Sc Anesthesiology 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 2020-06-05
1720627862 Mm Infusions LLC Anesthesiology 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 2020-01-06
1538719778 Cpc Surgical Suite LLC Anesthesiology 555 W Court St Ste 100, Kankakee, IL 60901-3673 2019-09-19
1659854008 Rich Noren LLC Anesthesiology 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 2018-09-12
1003336470 Vertex Anesthesia LLC Anesthesiology 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 2017-06-26
1306386644 Advanced Pain and Anesthesia Consultants,pc Anesthesiology 5215 N California Ave Ste F715, Chicago, IL 60625-7014 2017-03-06
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Competitor

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City PEORIA
Zip Code 61614

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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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