DR. DAVID CARL GREGORY (NPI# 1871599522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871599522 |
| Entity Type | Individual |
| Full Name | DR. DAVID CARL GREGORY |
| Credential | M.D. |
| Practice Address |
1701 W Garden St Peoria IL 61605-3531 |
| Mailing Address |
2214 N University St Peoria IL 61604-3221 |
| Practice Telephone | 3096807600 |
| Practice Fax Number | 3096807686 |
| Mailing Telephone | 3096807669 |
| Mailing Fax Number | 3096818443 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036103155 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036103155 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 Ne Jefferson Ave, Peoria, IL 616033802 | 3096718000 | 3096714695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
| 1962589986 | David Alexander Gregory | Dentist | 3011 Rancho Vista Blvd, #i, Palmdale, CA 93551 | 2006-11-01 |
| 1639263809 | David Brent Gregory | Dentist | 3302 64th St, Lubbock, TX 79413-5743 | 2006-10-03 |
| 1134175904 | David K Gregory | Ophthalmology | 440 W Ih 635 Fwy, Suite 415, Irving, TX 75063-3707 | 2006-05-25 |
| 1275532921 | David S. Gregory | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2005-07-15 |
| 1407859242 | David Max Gregory | Internal Medicine | 3435 Nw 56th St, Ste 314, Oklahoma City, OK 73112-4414 | 2005-05-24 |
| 1679002000 | David Gregory | Emergency Medicine | 701 Grove Rd Fl 1, Greenville, SC 29605-4210 | 2017-06-08 |
| 1205377553 | David James Gregory | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-19 |
| 1114334414 | David Parker Gregory | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-07-18 |
| 1245498856 | David Abraham Gregory | Counselor | 270 Riverside Drive #201, Senior Connections Psychological Services of New York P, Johnson City, NY 13790-2741 | 2008-05-30 |
| Street Address |
1701 W GARDEN ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793639 | John Alexander-blair Ramirez | Social Worker | 1701 W Garden St, Peoria, IL 61605-3531 | 2019-01-07 |
| 1376925586 | Shannon Diann Pyle | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2015-06-24 |
| 1487054425 | Kathryn M Endress | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2014-08-27 |
| 1063825446 | Marcus Ismedhi Mutidjo | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605 | 2014-06-03 |
| 1053662783 | Edward E Etherton | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2012-09-20 |
| 1710210711 | Amy M. Light | Counselor | 1701 W Garden St, Peoria, IL 61605-3531 | 2009-09-09 |
| 1902951957 | Tina R Saddler | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2007-01-23 |
| 1467546218 | Gregg D Stoner | Family Medicine | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-10-03 |
| 1790889392 | Sandra K. Leman | Physician Assistant | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-09-12 |
| 1629092226 | Thembi A Conner-garcia | Internal Medicine | 1701 W Garden St, Peoria, IL 61605 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| Find all providers in PEORIA | ||||
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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.