REJUV DAVID KINDRED, PC (NPI# 1093062077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093062077 |
| Entity Type | Organization |
| Organization Name | REJUV DAVID KINDRED, PC |
| Practice Address |
2806 N Knoxville Ave Peoria IL 61604-2870 |
| Practice Telephone | 3092149950 |
| Mailing Telephone | 3092149950 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | DR. DAVID KINDRED (OWNER) |
| Authorized Official Telephone | 3092149950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2806 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861836991 | David Kindred Integerated Medicine PC | General Practice | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-04-19 |
| 1164761268 | David Kindred Integrated Medicine PC | Preventive Medicine | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083097000 | Pilar Mckay Rainey | Obstetrics & Gynecology | 530 Ne Glen Oak, Peoria, IL 61634-0001 | 2015-07-08 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1124468129 | Kaleb L. Jacobs | Obstetrics & Gynecology | 6708 N. Knoxville Ave, Suite 1, Peoria, IL 61614 | 2013-07-05 |
| 1528368875 | Couri Center for Gynecology and Integrative Womens Health Sc | Obstetrics & Gynecology | 6708 North Knoxville Ave, Suite 1, Peoria, IL 61614 | 2010-11-02 |
| 1376787523 | Vanessa Marie Cameron | Obstetrics & Gynecology | 8600 N Sate Route 91, Suite 330, Peoria, IL 61615 | 2009-04-30 |
| 1437311651 | Marquia T Redden-grier | Obstetrics & Gynecology | 21755 N 77th Ave, Suite E-1200, Peoria, AZ 85382-2111 | 2008-06-29 |
| 1023298916 | Edward C Luan Md Sc | Obstetrics & Gynecology | 7620 N University St Ste 108, Peoria, IL 61614-8300 | 2007-11-07 |
| 1881893212 | Xochitl Lorena Garcia | Obstetrics & Gynecology | 2901 N. Knoxville Ave, Peoria, IL 61603-1747 | 2007-07-16 |
| 1881810224 | Ali Azadi | Obstetrics & Gynecology | Star Clinic/star Urogynecology, 14155 N 83rd Ave, Bld 6, Suite 138, Peoria, AZ 85381 | 2007-04-17 |
| 1811091333 | James K Crane Mdsc | Obstetrics & Gynecology | 5008 N Glen Park Place Rd, Suite B, Peoria, IL 61614-4694 | 2006-09-13 |
| Find all providers in PEORIA | ||||
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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.