DR. CRAIG LOUIS-ALBERT HIGGS (NPI# 1649488925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649488925 |
| Entity Type | Individual |
| Full Name | DR. CRAIG LOUIS-ALBERT HIGGS |
| Credential | M.D. |
| Practice Address |
5114 N Glen Park Place Rd Peoria IL 61614-4686 |
| Practice Telephone | 3096835600 |
| Practice Fax Number | 3096835607 |
| Mailing Telephone | 3096835600 |
| Mailing Fax Number | 3096835607 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD432119 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036-116366 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD432119 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-116366 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036116366 | 05 | |
| IL | RR MEDICARE GROUP PTAN | CA4079 | 01 |
| IL | RR MEDICARE MEMBER PTAN | P00617108 | 01 |
| IL | MEDICARE GROUP # | 809840 | 01 |
| Street Address |
5114 N GLEN PARK PLACE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533057 | Susan Sphar | Midwife | 5114 N Glen Park Place Rd, Suite 220, Peoria, IL 61614-4686 | 2006-01-19 |
| 1851876593 | Grace Marie Harmon | Physician Assistant | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2018-09-28 |
| 1053801191 | Joy L Meachum | Social Worker | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2018-05-15 |
| 1932607835 | Ashley L Whitlatch | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2018-01-25 |
| 1417461260 | Michele D. Dudley | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2017-11-30 |
| 1639681117 | Melissa Renee Garmon | Physician Assistant | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2017-10-24 |
| 1104335546 | Lindsey Spangler | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2017-09-28 |
| 1295259901 | Laine K Thies | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2017-08-03 |
| 1083147763 | Jennifer Robison | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2017-04-10 |
| 1295280303 | Heidi L Gendron | Nurse Practitioner | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2016-08-18 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1760042162 | Paulette Padilla | Pediatrics | 3128 N Linnhill Ct, Peoria, IL 61604-1650 | 2019-06-18 |
| 1942799465 | Khaled Faisal Abdul Rahman | Pediatrics | 530 Ne Glen Oak Ave Bldg 5th, Peoria, IL 61637-0001 | 2018-05-10 |
| 1356859128 | Pleasant Pediatrics Plc | Pediatrics | 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 | 2018-01-16 |
| 1427408863 | Josef Newman | Pediatrics | 5654 N Building, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-16 |
| 1962856054 | Brittany Nichole Vaio | Pediatrics | 9059 W Lake Pleasant Pkwy Suite E-540, Peoria, AZ 85382 | 2016-04-15 |
| 1790025591 | Pleasant Pediatrics Plc | Pediatrics | 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 | 2013-02-15 |
| 1629365424 | May C Sun | Pediatrics | 2401 W Alta Rd Apt 905, Peoria, IL 61615-1290 | 2011-06-30 |
| 1205064003 | Sandhya Chaudhari | Pediatrics | 530 Ne Glran Oak Ave, Peoria, IL 61637-0001 | 2009-06-30 |
| 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.