PETER J METCALF (NPI# 1811993306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811993306 |
| Entity Type | Individual |
| Full Name | PETER J METCALF |
| Credential | MD |
| Practice Address |
1504 10th St Silvis IL 61282-1899 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 3092812350 |
| Practice Fax Number | 3092812359 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2015-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-087948 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMARK BC/BS | 91337 | 01 | |
| IA | 1907584 | 05 | |
| IL | 036087948 | 05 | |
| IOWA HEALTH SOLUTIONS | 20032 | 01 | |
| JOHN DEERE HEALTH PLAN | IL01E9 | 01 | |
| HEALTH ALLIANCE | 020273 | 01 |
| Street Address |
1504 10TH ST |
| City | SILVIS |
| State | IL |
| Zip Code | 61282-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801192406 | Woldegabriel Baynesagn | Pediatrics | 1504 10th St, Silvis, IL 61282-1899 | 2011-01-31 |
| 1477559391 | Paulito D Tuazon | Pediatrics | 1504 10th St, Silvis, IL 61282-1899 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
| 1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
| 1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
| 1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
| 1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
| 1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
| 1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
| 1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
| 1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
| 1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
| Find all providers in zip 61282 | ||||
| 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 |
|---|---|---|---|---|
| 1801192406 | Woldegabriel Baynesagn | Pediatrics | 1504 10th St, Silvis, IL 61282-1899 | 2011-01-31 |
| 1063520310 | Genesis Health System | Pediatrics | 855 Illini Dr, Suite 304, Silvis, IL 61282-2907 | 2006-08-28 |
| 1477559391 | Paulito D Tuazon | Pediatrics | 1504 10th St, Silvis, IL 61282-1899 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
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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.