MR. JAMES ANTHONY CARUSO


Address: 9601 North Lindbergh Dr, # 230, Peoria, IL 61615
Phone: 3093462045

MR. JAMES ANTHONY CARUSO (NPI# 1275612681) 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) 1275612681
Entity Type Individual
Full Name MR. JAMES ANTHONY CARUSO
Credential PA-C
Practice Address 9601 North Lindbergh Dr
# 230
Peoria
IL 61615
Mailing Address 300 Hanna Drive
Trailer 2
Pekin
IL 61554
Practice Telephone 3093462045
Practice Fax Number 3093461761
Mailing Telephone 3093462045
Mailing Fax Number 3093461761
Enumeration Date 2006-11-04
Last Update Date 2013-10-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
102678 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers JAMES CARUSO

NPI Name Taxonomy Address Enumeration
1275524449 James M Caruso Family Medicine 4939 W Fullerton Ave, Chicago, IL 60639-2505 2005-11-04
1427584036 James Philip Caruso Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2017-05-03
1366721110 James Michael Caruso Optometrist 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 2011-08-10
1558346197 James Louis Caruso Pathology 1413 Research Blvd, Rockville, MD 20850-3125 2005-12-07

Office Location

Street Address 9601 NORTH LINDBERGH DR
# 230
City PEORIA
State IL
Zip Code 61615

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194343897 Alyssa Kay Poland Physician Assistant 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 2020-07-08
1871155143 Terry Craven Wood Physician Assistant 7645 W Donald Dr, Peoria, AZ 85383-3142 2019-07-08
1174956031 Kindal Alysse Sweet Physician Assistant 7677 W Paradise Ln Apt 1128, Peoria, AZ 85382-4974 2013-08-14
1831246669 Joseph B Earl Physician Assistant 7615 W Thunderbird Rd Ste 105, Peoria, AZ 85381-6083 2007-01-04
1922103407 Brady Paul Nelson Physician Assistant 13943 N . 91st Ave Building I, Peoria, AZ 85381-3692 2006-09-13
1689786444 Bruce A Ropte Physician Assistant 21731 N. 77th Avenue, Peoria, AZ 85382 2006-08-31
1265543391 Elizabeth D Moore Physician Assistant 8940 N Wood Sage Road, Peoria, IL 61615 2006-08-31
1174500581 Janis Suzann Forch Physician Assistant 7615 W Thunderbird Rd, Ste 106, Peoria, AZ 85381-6083 2005-12-28
1508858754 Kenneth B Caton Physician Assistant 9165 W Thunderbird Rd, Ste 100, Peoria, AZ 85381 2005-08-15
1568925865 Christine Marie Fleming Physician Assistant 13965 N 75th Ave, Peoria, AZ 85381-6097 2019-04-12
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Competitor

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City PEORIA
Zip Code 61615

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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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