JEFFREY BENJAMIN MIESSAU


Address: 7707 N Knoxville Ave Ste 200, Peoria, IL 61614-2020
Phone: 3093085050

JEFFREY BENJAMIN MIESSAU (NPI# 1689137671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689137671
Entity Type Individual
Full Name JEFFREY BENJAMIN MIESSAU
Credential PA-C
Practice Address 7707 N Knoxville Ave Ste 200
Peoria
IL 61614-2020
Mailing Address Po Box 33043
Knoxville
TN 37930-3043
Practice Telephone 3093085050
Practice Fax Number 3093085095
Enumeration Date 2019-04-08
Last Update Date 2019-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3800 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7707 N KNOXVILLE AVE STE 200
City PEORIA
State IL
Zip Code 61614-2020

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275148280 Patricia Miriam Rus Physician Assistant 23615 N 105th Dr, Peoria, AZ 85383-1195 2020-09-15
1083235154 Katlyn Coyer Physician Assistant 900 Main St Ste 530, Peoria, IL 61602-1005 2020-04-30
1114586690 Courtney A Hitpas Physician Assistant 3120 N Bigelow St, Peoria, IL 61604-1628 2019-06-10
1417413337 Michelle Nemeh Physician Assistant 6760 W Thunderbird Rd Ste 100, Peoria, AZ 85381-5048 2019-02-15
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1962977538 Ashley Deyoung Physician Assistant 13943 N 91st Ave Ste F101, Peoria, AZ 85381-3689 2018-10-09
1326557141 Melissa L. Kingston Physician Assistant 13760 N 93rd Ave Ste 201, Peoria, AZ 85381-4200 2017-09-25
1396196465 Ayla Diamond Physician Assistant 9165 W Thunderbird Rd Ste 200, Peoria, AZ 85381-4847 2016-06-29
1336530948 Carolina C. Castro Physician Assistant 13128 N. 94th Drive, Suite 100, Peoria, AZ 85381-4252 2015-02-18
1306237342 Vivian Toma Physician Assistant 9059 W Lake Pleasant Pkwy Ste E540, Peoria, AZ 85382 2015-02-12
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Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

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.

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