KENNETH ARNETT (NPI# 1437249760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437249760 |
| Entity Type | Individual |
| Full Name | KENNETH ARNETT |
| Practice Address |
200 E Pennsylvania Ave Peoria IL 61603-3089 |
| Practice Telephone | 3096554184 |
| Practice Fax Number | 3096248876 |
| Mailing Telephone | 3096554184 |
| Mailing Fax Number | 3096248876 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
036-064666 | IL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036-064666 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-064666 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064666 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093905820 | Kenneth M Arnett | Social Worker | 956 Montelair Road, Suite 101, Birmingham, AL 35213 | 2007-07-27 |
| 1407410871 | Kenneth Arnett | Pharmacist | 300 Health Park Blvd Ste 1002, St Augustine, FL 32086-3702 | 2019-04-30 |
| 1316989452 | Kenneth W Arnett | Radiology | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 | 2006-06-12 |
| Street Address |
200 E PENNSYLVANIA AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901711 | James W Bauer | Internal Medicine | 200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045 | 2005-06-09 |
| 1205473154 | Gargi Dnyanesh Gupte | Physician Assistant | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-12-10 |
| 1487127734 | Stephanie S Beckstrom | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2019-01-09 |
| 1174093009 | Katelyn M Johnson | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-12-04 |
| 1093298127 | Loan T Nguyen | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-09-14 |
| 1922580695 | Anna K Boyce | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-08-30 |
| 1033604855 | Caroline Marie Boczar | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-06-25 |
| 1831608991 | Laurel K Donaldson | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-09-21 |
| 1851818835 | Cynthia I Guede | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2017-08-29 |
| 1275986051 | Travis E. Towne | Social Worker | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2016-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073942264 | Padma Tipirneni | Allergy & Immunology | 17608 San Bernardino Dr, Orland Park, IL 60467-8210 | 2013-11-07 |
| 1003041476 | Kevin D Lindgren | Allergy & Immunology | 610 S Maple Ave Ste 5500, Oak Park, IL 60304-2808 | 2009-05-28 |
| 1457479420 | Progressive Institute of Allergy, Inc. | Allergy & Immunology | 5351 W Lawrence Ave, Chicago, IL 60630-3627 | 2007-03-27 |
| 1134252869 | Allergy and Asthma Associates of Dupage, P.C. | Allergy & Immunology | 1020 E. Ogden Ave., Suite 205, Naperville, IL 60563 | 2007-03-13 |
| 1760513725 | Greg E Sharon Md Sc | Allergy & Immunology | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2007-03-08 |
| 1861520363 | Surendra Prakash Agarwal | Allergy & Immunology | 711 W Saint Anthony Ave, Effingham, IL 62401-2050 | 2007-02-28 |
| 1104969047 | Midwest Allergy and Asthma Specialists | Allergy & Immunology | 6743 Kingery Hwy, Willowbrook, IL 60527-5142 | 2007-02-14 |
| 1578656484 | Southwest Allergy Associates.s.c. | Allergy & Immunology | 5423 W 95th St, Oak Lawn, IL 60453-3789 | 2006-10-02 |
| 1801990007 | Janusz Langiewicz | Allergy & Immunology | 1 Executive Center Ste 3, South Barrington, IL 60010 | 2006-09-11 |
| 1710095385 | Allergy and Asthma Clinic Sc | Allergy & Immunology | 229 N Hammes Ave, Joliet, IL 60435-8100 | 2006-08-25 |
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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.