PEORIA DAY SURGERY CENTER LTD (NPI# 1568426260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426260 |
| Entity Type | Organization |
| Organization Name | PEORIA DAY SURGERY CENTER LTD |
| Practice Address |
7309 N Knoxville Ave Peoria IL 61614-2085 |
| Practice Telephone | 3096929210 |
| Practice Fax Number | 3096834208 |
| Mailing Telephone | 3096929210 |
| Mailing Fax Number | 3096834208 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DR. JUSTIN R AHLMAN (CEO) |
| Authorized Official Telephone | 3096929210 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7001449 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 007001449 | 05 |
| Street Address |
7309 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688669 | Lisa K Nielsen | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2005-12-06 |
| 1962038356 | Joshua Michael Auer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2020-03-17 |
| 1932449691 | J&j Health Services LLC | Urology | 7309 N Knoxville Ave, Suite 200, Peoria, IL 61614-2085 | 2013-02-18 |
| 1649537986 | Lorie L Recar | Specialist/Technologist, Other | 7309 N Knoxville Ave, Ste. #2, Peoria, IL 61614-2085 | 2012-04-11 |
| 1659662070 | Erin Jean Overcash | Nurse Practitioner | 7309 N Knoxville Ave, Suite 300, Peoria, IL 61614-2085 | 2011-04-20 |
| 1427360809 | Laurie Mcatee | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2010-07-13 |
| 1275869240 | Tracy L Schierer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-10-27 |
| 1942441225 | Laura L Wilson-brown | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-03-16 |
| 1821244880 | Brian Arthur Elsesser | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2008-08-11 |
| 1891715272 | Midwest Urological Group, Ltd. | Specialist | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2006-07-20 |
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| 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 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341353 | Banner Peoria Surgery Center LLC | Clinic/Center | 13640 N Plaza Del Rio Blvd Ste 135, Peoria, AZ 85381-4846 | 2017-08-09 |
| 1285085068 | Valley Pain Centers of Arizona, LLC | Clinic/Center | 9242 W Union Hills Dr Ste 100, Peoria, AZ 85382-8218 | 2016-06-23 |
| 1700137650 | Olive Surgical Care, LLC | Clinic/Center | 8914 N 91st Ave, Suite 120, Peoria, AZ 85345-8390 | 2012-10-01 |
| 1972782845 | Nationalhealthcareinc | Clinic/Center | 7405 N University St, Peoria, IL 61614-1212 | 2007-10-29 |
| 1104957869 | Pain Solutions Center, LLC | Clinic/Center | 15262 N 75th Ave, Suite 400, Peoria, AZ 85381-4763 | 2007-03-07 |
| 1821141284 | Center for Health Ambulatory Surgery Center, LLC | Clinic/Center | 8800 Route 91 North, Peoria, IL 61615 | 2007-01-19 |
| 1528002219 | Pinnacle Surgery Center LLC | Clinic/Center | 6790 W Thunderbird Rd, Peoria, AZ 85381-5023 | 2006-06-15 |
| 1518498385 | Annmarie Klein | Clinic/Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-03-23 |
| 1023567260 | Ski Ambulatory Surgical Centers, LLC | Clinic/Center | 7362 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-5028 | 2016-09-29 |
| 1790104248 | Metro Surgery Center, LLC | Clinic/Center | 6790 W Thunderbird Rd, Peoria, AZ 85381 | 2014-04-14 |
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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.