PEORIA HAND SURGERY, LLC (NPI# 1255721502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255721502 |
| Entity Type | Organization |
| Organization Name | PEORIA HAND SURGERY, LLC |
| Practice Address |
5401 N Knoxville Ave Suite 107 Peoria IL 61614-5098 |
| Practice Telephone | 3096933970 |
| Practice Fax Number | 3096933971 |
| Mailing Telephone | 3096933970 |
| Mailing Fax Number | 3096933971 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | GREGORY J ADAMSON X (PRESIDENT) |
| Authorized Official Telephone | 3096933970 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
036089935 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36089935 | 05 |
| Street Address |
5401 N KNOXVILLE AVE SUITE 107 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5098 |
| 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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| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164507190 | Canyon Orthopaedic Surgeons, A Division of Osna, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Ste E110, Peoria, AZ 85381-5048 | 2006-10-26 |
| 1295044964 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Suite E110, Peoria, AZ 85381-5048 | 2010-09-29 |
| 1013170232 | Tanay J Amin | Orthopaedic Surgery | 9165 W Thunderbird Rd, Suite 200, Peoria, AZ 85381-4847 | 2008-07-08 |
| 1518906544 | Paul S Mahoney | Orthopaedic Surgery | 7972 W Thunderbird Rd, Suite 104, Peoria, AZ 85381-4903 | 2006-06-05 |
| 1013984970 | Thimmavajjhala Sreecharana | Orthopaedic Surgery | 13260 N 94th Dr, Suite 101, Peoria, AZ 85381-4828 | 2006-02-28 |
| 1104812155 | James R Williams | Orthopaedic Surgery | 6000 N Allen Road, Peoria, IL 61614-3294 | 2005-09-26 |
| 1518967850 | Jeffrey R Garst | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2005-07-28 |
| 1255331567 | Gregory John Adamson | Orthopaedic Surgery | 5401 N. Knoxville Ave., Suite 107, Peoria, IL 61614 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1639692973 | Oa Associated LLC | Orthopaedic Surgery | 1414 Cross St Ste 110, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1932376092 | Felicity Fishman | Orthopaedic Surgery | 2160 S 1st Ave Ste 1700, Maywood, IL 60153-3328 | 2008-05-08 |
| 1548466725 | Emily Anne Gilley | Orthopaedic Surgery | 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 | 2007-06-25 |
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1679798565 | Michael Victor Birman | Orthopaedic Surgery | 515 W Algonguin Rd., Hand Surgery Associates, S.c., Arlington Heights, IL 60005 | 2007-04-16 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1992871347 | Marko F Krpan | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2006-11-28 |
| 1841383031 | Scott D Sagerman | Orthopaedic Surgery | 515 W Algonquin Rd, Ste 120, Arlington Heights, IL 60005-4405 | 2006-10-02 |
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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.