MIDWEST PODIATRY GROUP, PC


Address: 3827 N Prospect Rd, Peoria, IL 61616-7767
Phone: 3096861000

MIDWEST PODIATRY GROUP, PC (NPI# 1184731663) 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) 1184731663
Entity Type Organization
Organization Name MIDWEST PODIATRY GROUP, PC
Practice Address 3827 N Prospect Rd
Peoria
IL 61616-7767
Practice Telephone 3096861000
Mailing Telephone 3096861000
Enumeration Date 2006-08-23
Last Update Date 2010-03-17
Authorized Official Name DR. DONALD JOE SHELLER (PRESIDENT)
Authorized Official Telephone 3096861000
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
016003172 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE DA0891 01
IL 016003172 05

Office Location

Street Address 3827 N PROSPECT RD
City PEORIA
State IL
Zip Code 61616-7767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942270434 Donald Joe Sheller Podiatrist 3827 N Prospect Rd, Peoria, IL 61616-7767 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558748350 Jennifer Lynn Kroll Pediatrics 1317 E Kelly Ave, Peoria Heights, IL 61616 2015-04-30
1649583485 Aline Azar Internal Medicine 1120 E War Memorial Drive, Peoria Heights, IL 61616 2010-07-22
1417137217 Reza Vakili Dentist 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 2007-11-08
1588700348 Sandra Kay Chatwood Counselor 3709 N Atlantic Ave, Peoria Heights, IL 61616 2007-01-29
1578619524 Donald B Braunagel Dentist 924b F Glen Ave, Peoria Heights, IL 61616 2007-01-25
1417009481 Jeffrey Scott Whitson Dentist 924 E Glen Ave, #b, Peoria Heights, IL 61616 2007-01-18
1003986019 Sharshon Pharmacy. Inc. Pharmacy 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 2006-11-08
1659790350 Kevin Spangler Nurse Practitioner 1120 E War Memorial Dr, Peoria Heights, IL 61616 2014-04-09
1114026754 Mark Montefolka Family Medicine 1120 E War Memorial Dr, Peoria Heights, IL 61616 2006-09-21
1467683334 Unlimited Advacare Systems, Inc Durable Medical Equipment & Medical Supplies 819 E London Ave, Peoria, IL 61616-1360 2009-07-27
Find all providers in zip 61616

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407418395 Jupiter Medical Services LLC Podiatrist 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 2019-07-01
1548615875 Yehia Mohamed Elebrashi Podiatrist 10204 W Happy Valley Pkwy, Ste 160, Peoria, AZ 85383-2880 2016-04-23
1306118328 Jeff Thomas Podiatrist 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 2012-02-07
1750506846 Illinois Valley Podiatry Group PC Podiatrist 3322 W Willow Knolls, Peoria, IL 61614 2007-04-16
1679620876 Ernest A Nwani Podiatrist 409 N Western Ave, Peoria, IL 61606-1652 2007-01-03
1942270434 Donald Joe Sheller Podiatrist 3827 N Prospect Rd, Peoria, IL 61616-7767 2006-01-25
1114926748 Curtis L Ward Podiatrist 5017 N Glen Park Place Rd, Peoria, IL 61614-4677 2005-07-15
1831717891 Saturn Medical Specialists, LLC Podiatrist 13660 N 94th Drive, Ste D-1, Peoria, AZ 85381-8538 2020-07-07
1417574328 Ryan Bangart Dpm PC Podiatrist 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 2020-06-26
1538798004 Vitality Foot and Ankle Institute Pllc Podiatrist 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 2020-04-06
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61616

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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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