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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036.131119 | IL | Allopathic & Osteopathic Physicians |
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 |
Street Address |
4909 N GLEN PARK PLACE RD |
City | PEORIA |
State | IL |
Zip Code | 61614-4676 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 61614 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. JAMES MURRAY JEFFRIES III.
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.