DR. JASON THOMAS TAYLOR (NPI# 1518318005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518318005 |
| Entity Type | Individual |
| Full Name | DR. JASON THOMAS TAYLOR |
| Credential | MD |
| Practice Address |
538 Ne Glen Oak Ave Peoria IL 61637-0001 |
| Practice Telephone | 3096556384 |
| Practice Fax Number | 3096557732 |
| Mailing Telephone | 3096552730 |
| Mailing Fax Number | 3096553297 |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125069507 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432362 | Jason Lee Taylor | Physical Therapy Assistant | 601 Hwy 110 N Ste N, Whitehouse, TX 75791-3037 | 2020-03-18 |
| 1174001515 | Jason Taylor | Nurse Practitioner | 6160 Sw State Road 200 # 119, Ocala, FL 34476-8307 | 2018-07-28 |
| 1538603436 | Jason Taylor | Pharmacist | 825 Flood St, New Orleans, LA 70117-3038 | 2016-12-12 |
| 1356750244 | Jason Daniel Taylor | Physical Therapist | 2312 S 6th St Ste B, Klamath Falls, OR 97601-4340 | 2014-08-05 |
| 1447537550 | Jason Ivory Taylor | Pharmacy Technician | 3333 E.shelby Dr., Memphis, TN 38105-4510 | 2011-11-03 |
| 1831408053 | Jason Paul Taylor | Physician Assistant | 8122 Se Tibbetts St, Portland, OR 97206-1768 | 2010-10-05 |
| 1972755270 | Jason Allen Taylor | Radiology Practitioner Assistant | 16029 Dry Creek Way, Louisville, KY 40299-3326 | 2008-10-17 |
| 1649481607 | Jason K Taylor | Specialist | 106 Highland Way Ste 203, Madison, MS 39110-6933 | 2007-05-24 |
| 1679629620 | Jason Stuart Taylor | Chiropractor | 311 North 12th St, Middlesboro, KY 40965 | 2007-01-25 |
| 1417519141 | Jason Taylor | Specialist/Technologist | 1 Dot Way, Mt Sterling, IL 62353-1664 | 2019-07-02 |
| Street Address |
538 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61637-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1174184527 | Manisha Tharoor | Student in an Organized Health Care Education/Training Program | 530 N.e Glen Oak Ave, Peoria, IL 61637 | 2019-06-26 |
| 1609436724 | Sriviji Senthil Kumaran | Student in an Organized Health Care Education/Training Program | 530. N.e Glen Oak Ave., Peoria, IL 61637 | 2019-06-20 |
| 1780240929 | Abuzar Ali Asif | Student in an Organized Health Care Education/Training Program | 530 N. E. Glen Oak Ave., Peoria, IL 61637 | 2019-05-14 |
| 1518328665 | Jenna Bishop | Dietitian, Registered | 600 Ne Water Street, Peoria, IL 61637 | 2016-03-17 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1265720510 | Reuben Antony | Pediatrics | 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 | 2011-07-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1326244682 | Maria S. Parr | Psychiatry & Neurology | Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 | 2007-06-25 |
| Find all providers in zip 61637 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841779063 | Chris Brooker Do Pllc | Internal Medicine | 7747 W Deer Valley Rd Ste 250, Peoria, AZ 85382-2124 | 2018-08-08 |
| 1447736665 | Artem Aesthestics & Wellness LLC | Internal Medicine | 9059 W Lake Pleasant Pkwy Ste C320, Peoria, AZ 85382-8394 | 2018-07-11 |
| 1568956670 | Mckenzie Elle Wylie | Internal Medicine | Unity Point Health 815 Main St, Suite C, Peoria, IL 61602-1080 | 2018-06-21 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1134508112 | Anthony Alexander Baldoni | Internal Medicine | Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2015-05-25 |
| 1194133850 | Ashish Kumar Roy | Internal Medicine | 530 N.e. Glen Oak Ave, Peoria, IL 61637 | 2014-07-25 |
| 1083047401 | Paul Stuart Moots | Internal Medicine | 929 W Loire Ct, Apt 1211, Peoria, IL 61614-1850 | 2013-08-21 |
| 1386085975 | Amit Bhushan Sharma | Internal Medicine | 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 | 2013-07-10 |
| 1205171709 | Amruta Surendra Jaju | Internal Medicine | 5401 N Knoxville Ave Ste 204, Peoria, IL 61614-5021 | 2012-12-10 |
| 1285996926 | Jennifer Yeast | Internal Medicine | 6304 N Sheridan Rd, Peoria, IL 61614-3044 | 2012-06-08 |
| 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.