DR. EDWARD A RUFUS JR


Address: 5401 N Knoxville Ave, Suite 306, Peoria, IL 61614-5098
Phone: 3096917890

DR. EDWARD A RUFUS JR (NPI# 1871597450) 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) 1871597450
Entity Type Individual
Full Name DR. EDWARD A RUFUS JR
Credential MD
Practice Address 5401 N Knoxville Ave
Suite 306
Peoria
IL 61614-5098
Mailing Address 206 E Miller Rd
Edelstein
IL 61526-9740
Practice Telephone 3096917890
Practice Fax Number 3096917898
Mailing Telephone 3092745200
Enumeration Date 2005-06-10
Last Update Date 2009-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036073126 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 7200599 01
IL 036073126 05

Office Location

Street Address 5401 N KNOXVILLE AVE
SUITE 306
City PEORIA
State IL
Zip Code 61614-5098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366984015 Taylor Jeanette Simmons Specialist/Technologist 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 2016-11-11
1518416254 Illinois Regional Pain Institute Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-09-22
1700331030 Deb M Schleich Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-08-16
1154876498 Kimberly K Lopez Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2016-08-16
1417320854 Amy B Pheiffer Clinical Nurse Specialist 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 2015-11-06
1558732370 Leah Tabor Specialist/Technologist, Other 5401 N Knoxville Ave, Suite 117, Peoria, IL 61614 2015-10-20
1679944334 Midwest Pain & Spine Center, LLC Specialist 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2015-10-07
1124495379 Anne Webster Nurse Practitioner 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 2015-08-24
1720461353 Hometown Hearing & Audiology, Inc. Audiologist 5401 N Knoxville Ave, 116, Peoria, IL 61614-5011 2015-07-01
1255721502 Peoria Hand Surgery, LLC Orthopaedic Surgery 5401 N Knoxville Ave, Suite 107, Peoria, IL 61614-5098 2015-01-26
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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 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841779063 Chris Brooker Do Pllc Internal Medicine 7747 W Deer Valley Rd Ste 250, Peoria, AZ 85382-2124 2018-08-08
1447736665 Artem Aesthestics & Wellness LLC Internal Medicine 9059 W Lake Pleasant Pkwy Ste C320, Peoria, AZ 85382-8394 2018-07-11
1568956670 Mckenzie Elle Wylie Internal Medicine Unity Point Health 815 Main St, Suite C, Peoria, IL 61602-1080 2018-06-21
1013417617 Elite Infusions LLC Internal Medicine 10252 W Villa Chula, Peoria, AZ 85383 2018-02-20
1518318005 Jason Thomas Taylor Internal Medicine 538 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-26
1134508112 Anthony Alexander Baldoni Internal Medicine Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2015-05-25
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1083047401 Paul Stuart Moots Internal Medicine 929 W Loire Ct, Apt 1211, Peoria, IL 61614-1850 2013-08-21
1386085975 Amit Bhushan Sharma Internal Medicine 1505 N Peoria Ave # Appt806, Peoria, IL 61603-3140 2013-07-10
1205171709 Amruta Surendra Jaju Internal Medicine 5401 N Knoxville Ave Ste 204, Peoria, IL 61614-5021 2012-12-10
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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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