DR. DANIEL SCOTT MULCONREY (NPI# 1710914064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710914064 |
| Entity Type | Individual |
| Full Name | DR. DANIEL SCOTT MULCONREY |
| Credential | MD |
| Practice Address |
6000 N Allen Rd Peoria IL 61614-3294 |
| Practice Telephone | 3096911400 |
| Practice Fax Number | 3096897081 |
| Mailing Telephone | 3096911400 |
| Mailing Fax Number | 3096897081 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036-118429 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036118429 | 05 |
| Street Address |
6000 N ALLEN RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928942 | Michael S Merkley | Orthopaedic Surgery | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2005-08-02 |
| 1154984102 | Rachel A Koch | Physical Therapy Assistant | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1730742768 | Melissa M Heinold | Physical Therapy Assistant | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1689237620 | Kara M Beeler | Physical Therapy Assistant | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1487217485 | Bradyn A Cufaude | Specialist/Technologist | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1790348696 | Chloe K Knight | Specialist/Technologist | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1376012716 | Chelsea D Jones-mullins | Specialist/Technologist | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2018-11-15 |
| 1093282758 | Tara Marie Berry | Physical Therapy Assistant | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2018-10-30 |
| 1386126241 | Haley J Hoerr | Physical Therapist | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2018-09-06 |
| 1003393430 | Nicholas Peyton | Specialist/Technologist | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2018-07-27 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1023495199 | Judith Woehrle | Specialist | 8721 W Tonopah Dr, Peoria, AZ 85382-6402 | 2015-04-28 |
| 1699184606 | Denise M Brock | Specialist | 18969 N 83rd Ave, Suite 200, Peoria, AZ 85382-2844 | 2014-08-05 |
| 1326482076 | Corpo Bello Full Service Day Spa | Specialist | 1703 W Candletree Dr, Suite B, Peoria, IL 61614-1591 | 2013-04-24 |
| 1952698573 | Rashael D. Achinivu | Specialist | 24654 N Lake Pleasant Pkwy # 103-157, Peoria, AZ 85383-1359 | 2011-07-03 |
| 1174820633 | Three Paths Massage Therapy | Specialist | 5901 N Prospect Rd Ste 102, Peoria, IL 61614-4395 | 2011-02-18 |
| 1316171739 | Associated Orthopedics Sc | Specialist | 10326 N Juliet Ct, Peoria, IL 61615-1199 | 2009-05-13 |
| 1902040124 | Comprehensive Orthopedics, P. C. | Specialist | 5401 North Knoxville Ave, Suite 400, Peoria, IL 61614-5021 | 2009-05-01 |
| 1922250414 | Amy C Watt | Specialist | 507 E Armstrong Avenue, Peoria, IL 61603 | 2008-10-16 |
| 1467634477 | Richard M. Kootman M.d.,p.c. | Specialist | 13943 N. 91st Ave Bldg G, Peoria, AZ 85381-3687 | 2007-11-30 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on DR. DANIEL SCOTT MULCONREY.
| 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.