VISITING PHYSICIANS OF PEORIA INC (NPI# 1619376720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619376720 |
| Entity Type | Organization |
| Organization Name | VISITING PHYSICIANS OF PEORIA INC |
| Practice Address |
612 W Jackson St Morton IL 61550-1536 |
| Practice Telephone | 3092634787 |
| Practice Fax Number | 3092634797 |
| Mailing Telephone | 3092634787 |
| Mailing Fax Number | 3092634797 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | JUSTIN HOLLOWAY (IT/COORDINATOR) |
| Authorized Official Telephone | 3092634787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
612 W JACKSON ST |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619734 | Comfort Plus Hospice Inc. | Hospice Care, Community Based | 612 W Jackson St, Morton, IL 61550-1536 | 2011-03-04 |
| 1205485364 | Kami Maurer | Nurse Practitioner | 612 W Jackson St, Morton, IL 61550 | 2019-09-10 |
| 1053857144 | Care Solutions of Illinois Inc | Clinic/Center | 612 W Jackson St, Morton, IL 61550-1536 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669802948 | Lawrence Joseph Mellon | Family Medicine | 708 N. Morton Ave., Morton, PA 19070 | 2013-11-22 |
| 1407942592 | Merrell N Cooper | Family Medicine | 531 Adams Street, Morton, WA 98356-0018 | 2006-10-05 |
| 1518971977 | Ronald Hake | Family Medicine | 1909 N Morton Ave, Morton, IL 61550-1426 | 2006-07-28 |
| 1063453744 | Timothy F Jenkins | Family Medicine | 1803 Franklin Ave, Morton, PA 19070-1713 | 2006-06-10 |
| 1467436436 | Stanley W Koch | Family Medicine | 411 Maxine Dr, Morton, IL 61550-2495 | 2005-12-02 |
| 1134116247 | Stanford Alan Shor | Family Medicine | 61 S Morton Ave, Suite 6, Morton, PA 19070-1740 | 2005-10-04 |
| 1629200753 | Catherine Beratio | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-08-24 |
| 1043445869 | Christopher Reavis Johnson | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2009-05-22 |
| 1396908257 | Gregory B Rogers | Family Medicine | 201 E Grant Ave, Morton, TX 79346-3444 | 2008-07-09 |
| 1447424791 | Jessica A. Tonozzi-kinzinger | Family Medicine | 435 Maxine Dr, Morton, IL 61550-2498 | 2008-04-17 |
| Find all providers in MORTON | ||||
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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.