MR. JAMES MURRAY JEFFRIES III


Address: 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Phone: 3096747546

MR. JAMES MURRAY JEFFRIES III (NPI# 1073655676) 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) 1073655676
Entity Type Individual
Full Name MR. JAMES MURRAY JEFFRIES III
Credential MD
Practice Address 4909 N Glen Park Place Rd
Peoria
IL 61614-4676
Practice Telephone 3096747546
Practice Fax Number 3092820500
Mailing Telephone 3096747546
Mailing Fax Number 3092820500
Enumeration Date 2007-02-12
Last Update Date 2012-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
036.131119 IL Allopathic & Osteopathic Physicians

Other Providers JAMES JEFFRIES

NPI Name Taxonomy Address Enumeration
1245527530 James B. Jeffries Pharmacist 3518 Main Highway, Bamberg, SC 29003 2011-07-07
1619189230 James Carley Jeffries Dentist 11451 Katy Fwy Ste 105, Houston, TX 77079-2008 2007-05-04
1013539634 James William Jeffries Hearing Instrument Specialist 255 Terracina Blvd Ste 201, Redlands, CA 92373-4881 2020-05-18
1851913891 James Jeffries Physical Therapist 7150 Market St Ste 120, Wilmington, NC 28411-9888 2020-05-13
1568826121 James Christian Jeffries Radiology 5841 S Maryland Ave, Chicago, IL 60637-1447 2016-04-11
1649348186 James J. Jeffries II Internal Medicine Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2006-12-01

Office Location

Street Address 4909 N GLEN PARK PLACE RD
City PEORIA
State IL
Zip Code 61614-4676

Providers in the same location

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
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
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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 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275705188 Atanu Biswas Surgery 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 2008-03-31
1033151162 Eric T Elwood Surgery 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 2006-06-12
1720597065 Jason Daniel Johnson, Pllc Surgery 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 2017-09-28
1184895765 Reid Hansen, M.d. Surgery 900 Main St, Suite 500, Peoria, IL 61602-1005 2008-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1578068524 Jw Operatory Surgery 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 2018-03-29
1780198796 Lin Plastic and Reconstructive Surgery Inc Surgery 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 2017-11-29
1750892923 Alban Ingram Miller Jr. Surgery 1708 Foxborough Ct, Champaign, IL 61822-8503 2017-10-16
1972905545 Jennifer Hein Surgery 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 2014-09-25
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1043559842 Msa Alliance, LLC Surgery 1 Broadway Plz, Sparta, IL 62286-1800 2013-02-14
1518223791 Hansel M Debartolo Jr Md Sc Surgery 11 Debartolo Dr., Sugar Grove, IL 60554 2012-04-02
1952692717 Georgios Kokosis Surgery 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 2011-04-28
1740596808 Swedishamerican Hospital Surgery 6533 Lexus Dr, Rockford, IL 61108 2010-08-27
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Competitor

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City PEORIA
Zip Code 61614

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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