MICHAEL F. SHEKLETON (NPI# 1912097205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912097205 |
| Entity Type | Individual |
| Full Name | MICHAEL F. SHEKLETON |
| Practice Address |
2805 N Knoxville Ave Peoria IL 61604-2869 |
| Practice Telephone | 3096249400 |
| Practice Fax Number | 3096242280 |
| Mailing Telephone | 3096249400 |
| Mailing Fax Number | 3096242280 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-062205 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036-062205 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036062205 | 05 |
| Street Address |
2805 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168222 | Gloria Isabel Diaz | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2005-10-17 |
| 1982985339 | Scott A Gonia | Clinical Nurse Specialist | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2011-08-30 |
| 1306020334 | Erica M Deford | Physician Assistant | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2007-12-27 |
| 1467575092 | Melissa J. Dye | Clinical Nurse Specialist | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2007-04-09 |
| 1447351077 | Fritz-henry Volmar | Internal Medicine | 2805 N Knoxville Ave, Suite 209, Peoria, IL 61604-2869 | 2006-09-26 |
| 1790727410 | Susan M Mettille | Physician Assistant | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2006-06-11 |
| 1881635605 | Michael D Cashman | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932327 | Honorhealth Ambulatory | Internal Medicine | 9059 W Lake Pleasant Pkwy Ste 320, Peoria, AZ 85382-8362 | 2020-04-28 |
| 1649539255 | Arizona Gastroenterology Clinic LLC | Internal Medicine | 14155 N 83rd Ave Ste 122, Peoria, AZ 85381-5640 | 2012-05-16 |
| 1659390342 | Deepa K Shah | Internal Medicine | 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381-4846 | 2006-07-19 |
| 1730143165 | Malvinderjit Singh | Internal Medicine | 13634 N 93rd Ave Ste 200, Peoria, AZ 85381 | 2006-04-13 |
| 1639168222 | Gloria Isabel Diaz | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2005-10-17 |
| 1922605294 | Digestive Health Clinic, Pllc | Internal Medicine | 13634 N 93rd Ave Ste 200, Peoria, AZ 85381-4915 | 2020-10-08 |
| 1043849458 | Anesthesia Services for Gi LLC | Internal Medicine | 14155 N 83rd Ave Ste 122, Peoria, AZ 85381-5640 | 2020-04-07 |
| 1588831721 | Abdullah Al-rashdan | Internal Medicine | 1001 Main St, Suite 500a, Peoria, IL 61606-1907 | 2008-05-15 |
| 1447351077 | Fritz-henry Volmar | Internal Medicine | 2805 N Knoxville Ave, Suite 209, Peoria, IL 61604-2869 | 2006-09-26 |
| 1346276284 | Terry L Baldwin | Internal Medicine | 1001 W Main St, Suite 500a, Peoria, IL 61606-1276 | 2006-06-23 |
| 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.