LAUREN M PETOSKEY (NPI# 1285037929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285037929 |
| Entity Type | Individual |
| Full Name | LAUREN M PETOSKEY |
| Other Name | LAUREN M BERGSTRESSER |
| Credential | PA-C |
| Practice Address |
8600 N State Route 91 Peoria IL 61615-9541 |
| Practice Telephone | 3096835050 |
| Practice Fax Number | 3096835335 |
| Mailing Telephone | 3096835050 |
| Mailing Fax Number | 3096835335 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-005301 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8600 N STATE ROUTE 91 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501359 | Jeremy L Krock | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-11 |
| 1861948044 | Monica L Dunn | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-08-29 |
| 1013369149 | Brittany N Hemmele | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-13 |
| 1497107296 | Kathryn A Swain-abraham | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-06 |
| 1538537444 | Kristin M Burns | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1669840575 | Teverbaugh Croland and Mueller Ob/gyn and Associates, S.c. | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1518356419 | Cody Dykes | Nurse Anesthetist, Certified Registered | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2015-01-15 |
| 1093119661 | Megan M Cunningham | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-10-10 |
| 1396144846 | Jessica B Young | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-08-21 |
| 1053720284 | Jie Jiao | Psychologist | 8600 N State Route 91, Suite 240, Peoria, IL 61615-9541 | 2014-08-13 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148280 | Patricia Miriam Rus | Physician Assistant | 23615 N 105th Dr, Peoria, AZ 85383-1195 | 2020-09-15 |
| 1083235154 | Katlyn Coyer | Physician Assistant | 900 Main St Ste 530, Peoria, IL 61602-1005 | 2020-04-30 |
| 1114586690 | Courtney A Hitpas | Physician Assistant | 3120 N Bigelow St, Peoria, IL 61604-1628 | 2019-06-10 |
| 1689137671 | Jeffrey Benjamin Miessau | Physician Assistant | 7707 N Knoxville Ave Ste 200, Peoria, IL 61614-2020 | 2019-04-08 |
| 1417413337 | Michelle Nemeh | Physician Assistant | 6760 W Thunderbird Rd Ste 100, Peoria, AZ 85381-5048 | 2019-02-15 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1962977538 | Ashley Deyoung | Physician Assistant | 13943 N 91st Ave Ste F101, Peoria, AZ 85381-3689 | 2018-10-09 |
| 1326557141 | Melissa L. Kingston | Physician Assistant | 13760 N 93rd Ave Ste 201, Peoria, AZ 85381-4200 | 2017-09-25 |
| 1396196465 | Ayla Diamond | Physician Assistant | 9165 W Thunderbird Rd Ste 200, Peoria, AZ 85381-4847 | 2016-06-29 |
| 1336530948 | Carolina C. Castro | Physician Assistant | 13128 N. 94th Drive, Suite 100, Peoria, AZ 85381-4252 | 2015-02-18 |
| 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.