DR. KEVIN RICHARD MCCARTHY (NPI# 1508907817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508907817 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RICHARD MCCARTHY |
| Credential | D.C. |
| Practice Address |
304 W Northridge Ln Peoria IL 61614-4958 |
| Mailing Address |
6919 N Knoxville Ave Suite 103 Peoria IL 61614-2858 |
| Practice Telephone | 3096890076 |
| Practice Fax Number | 3096890091 |
| Mailing Telephone | 3096890076 |
| Mailing Fax Number | 3096890091 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038004468 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1619129087 | Kevin Mccarthy | Student in an Organized Health Care Education/Training Program | 1031 Bonair Drive, Williamsport, PA 17701 | 2008-10-16 |
| 1922210103 | Kevin J. Mccarthy | Clinical Neuropsychologist | 415 W Canal St, Picayune, MS 39466-3912 | 2007-05-03 |
| 1588638761 | Kevin C. Mccarthy | Internal Medicine | 419 Holiday Court, Suite 100, Warrenton, VA 20186 | 2006-02-15 |
| 1518581925 | Kevin Mccarthy | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-01 |
| 1366936940 | Kevin Mccarthy Jr. | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2018-06-18 |
| 1730560897 | Kevin Mccarthy | Counselor | 332 Birnie Ave, Springfield, MA 01107-1104 | 2015-06-15 |
| 1184004426 | Kevin John Mccarthy | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2015-06-02 |
| 1174924146 | Kevin Mccarthy | Social Worker | 1333 Brewery Park Blvd, Detroit, MI 48207-4544 | 2014-09-10 |
| 1356769350 | Kevin Mccarthy | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021 | 2014-04-07 |
| Street Address |
304 W NORTHRIDGE LN |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4958 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094557 | Chiro One Wellness Center of Peoria LLC | Chiropractor | 4125 N Sheridan Rd, Peoria, IL 61614-7167 | 2019-10-10 |
| 1134778418 | Benjamin Charles Deig | Chiropractor | 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | 2019-09-09 |
| 1851951610 | Wyatt Richard Kissling | Chiropractor | 26135 N 85th Dr, Peoria, AZ 85383-3608 | 2019-06-14 |
| 1336707447 | Pyle Family Chiropractic Pllc | Chiropractor | 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 | 2019-06-04 |
| 1356849772 | Brandie Long | Chiropractor | 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 | 2018-01-31 |
| 1457865933 | Hanna Ariella Singer | Chiropractor | 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 | 2017-11-20 |
| 1548798333 | Bryan Scott Rand | Chiropractor | 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 | 2017-05-24 |
| 1568903433 | Timothy Ballitch | Chiropractor | 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 | 2017-03-13 |
| 1215398367 | Alp Wellness Inc | Chiropractor | 4700 N University St Spc 65, Peoria, IL 61614-5849 | 2016-03-17 |
| 1275912545 | Lindsey Lea Rafool | Chiropractor | 719 W Lake Ave, Peoria, IL 61614-5941 | 2015-05-20 |
| 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.