LAURA SMITH


Address: 815 Main St Ste A, Peoria, IL 61602
Phone: 3096724977

LAURA SMITH (NPI# 1750518775) 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) 1750518775
Entity Type Individual
Full Name LAURA SMITH
Other Name LAURA PETREA
Credential MD
Practice Address 815 Main St Ste A
Peoria
IL 61602
Mailing Address 815 Main St Ste A
Peoria
IL 61602-1080
Practice Telephone 3096724977
Mailing Telephone 3096724977
Enumeration Date 2009-06-17
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036131208 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036131208001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
837 E Orange St, Hoopeston, IL 609421802 2172835530 2172836437

Other Providers LAURA SMITH

NPI Name Taxonomy Address Enumeration
1215538509 Laura Langford Smith Speech-Language Pathologist 7309 Janna Dr, Abilene, TX 79606-5323 2020-11-04
1851907190 Laura Ann Smith Dental Hygienist 2500 Wallington Way Ste 204, Marriottsville, MD 21104-1507 2020-09-22
1093330557 Laura H Smith Dietitian, Registered 9821 Fair Oaks Blvd Ste B, Fair Oaks, CA 95628-7050 2020-06-10
1447892443 Laura Leann Smith Nurse Practitioner 851 W 6th St, Austin, TX 78703-5403 2019-10-10
1770133589 Laura Lee Smith Technician 5112 Vista De Luz Nw, Albuquerque, NM 87120 2019-09-13
1639728157 Laura May Smith Specialist/Technologist, Other 38c E Hollis St, Nashua, NH 03060-2916 2019-09-06
1528613098 Laura Smith Rehabilitation Practitioner 6500 N 10th St Ste K1, Mcallen, TX 78504-3960 2019-08-01
1134622822 Laura Louise Smith Counselor 1570 Lakeview Ave, Dracut, MA 01826-3311 2018-03-09
1689174500 Laura Louise Smith Technician 800 N Rhomberg St Apt 3, Burnet, TX 78611-1926 2018-02-16
1801300900 Laura Alicia Smith Social Worker 730 Linden Blvd, Brooklyn, NY 11203-3458 2017-11-28

Office Location

Street Address 815 MAIN ST STE A
City PEORIA
State IL
Zip Code 61602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104928639 Kelvin Earl Wynn Family Medicine 815 Main St Ste A, Peoria, IL 61602-1080 2006-09-04
1366963332 Hanit Shah Student in an Organized Health Care Education/Training Program 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-29
1578083887 Andrew Noyce Hospitalist 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-27
1982124137 Balreet Kahlon Student in an Organized Health Care Education/Training Program 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-20
1083134241 Brenda Pecotte De Gonzalez Student in an Organized Health Care Education/Training Program 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-20
1477073674 Christina Anderson Student in an Organized Health Care Education/Training Program 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-20
1720508963 Nathan Bates Student in an Organized Health Care Education/Training Program 815 Main St Ste A, Peoria, IL 61602-1080 2017-06-20
1437565561 Taariq Goder Family Medicine 815 Main St Ste A, Peoria, IL 61602-1080 2014-07-09
1063828184 Lauren Wallace Family Medicine 815 Main St Ste A, Peoria, IL 61602-1080 2014-07-09
1013323138 Iram Yunus Family Medicine 815 Main St Ste A, Peoria, IL 61602-1080 2014-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922621739 Titan Medical LLC Family Medicine 13660 N 94th Dr Ste D-3, Peoria, AZ 85381-4836 2020-05-27
1619516788 Michelle Martin Family Medicine 15182 N 75th Ave # Uint180, Peoria, AZ 85381-4722 2020-01-06
1124667555 District Medical Group, Inc Family Medicine 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 2020-01-02
1831693514 Summa Health Care, PC Family Medicine 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 2018-03-19
1992236848 Agape Primary Care, Pllc Family Medicine 8380 W Emile Zola Ave # 5178, Peoria, AZ 85381-4811 2017-03-22
1043666910 Honorhealth Medical Group, LLC Family Medicine 10230 W Happy Valley Rd, Ste100, Peoria, AZ 85383-2795 2016-05-10
1598160863 Healthcare Partners Arizona Medical Group LLC Family Medicine 16155 N 83rd Ave Ofc, #201, Peoria, AZ 85382-5815 2014-10-29
1164856506 Charlotte Christie Clayton Family Medicine 7505 N Edgewild Dr, Peoria, IL 61614-2117 2013-08-21
1770824112 Dean Robert Bordeaux Family Medicine 7614 N Patton Ln, Peoria, IL 61614-1828 2013-03-11
1467731935 James Austin Shane Jr. Family Medicine 18821 N 94th Ave, Peoria, AZ 85382-3697 2011-08-15
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Competitor

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City PEORIA
Zip Code 61602

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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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