DR. DONALD JOE SHELLER (NPI# 1942270434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942270434 |
Entity Type | Individual |
Full Name | DR. DONALD JOE SHELLER |
Credential | DPM |
Practice Address |
3827 N Prospect Rd Peoria IL 61616-7767 |
Practice Telephone | 3096861000 |
Practice Fax Number | 3096868174 |
Mailing Telephone | 3096861000 |
Mailing Fax Number | 3096868174 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2010-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016003172 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DMERC | 4768490001 | 01 |
Street Address |
3827 N PROSPECT RD |
City | PEORIA |
State | IL |
Zip Code | 61616-7767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184731663 | Midwest Podiatry Group, PC | Podiatrist | 3827 N Prospect Rd, Peoria, IL 61616-7767 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
Find all providers in zip 61616 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
1548615875 | Yehia Mohamed Elebrashi | Podiatrist | 10204 W Happy Valley Pkwy, Ste 160, Peoria, AZ 85383-2880 | 2016-04-23 |
1306118328 | Jeff Thomas | Podiatrist | 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 | 2012-02-07 |
1750506846 | Illinois Valley Podiatry Group PC | Podiatrist | 3322 W Willow Knolls, Peoria, IL 61614 | 2007-04-16 |
1679620876 | Ernest A Nwani | Podiatrist | 409 N Western Ave, Peoria, IL 61606-1652 | 2007-01-03 |
1114926748 | Curtis L Ward | Podiatrist | 5017 N Glen Park Place Rd, Peoria, IL 61614-4677 | 2005-07-15 |
1831717891 | Saturn Medical Specialists, LLC | Podiatrist | 13660 N 94th Drive, Ste D-1, Peoria, AZ 85381-8538 | 2020-07-07 |
1417574328 | Ryan Bangart Dpm PC | Podiatrist | 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 | 2020-06-26 |
1538798004 | Vitality Foot and Ankle Institute Pllc | Podiatrist | 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 | 2020-04-06 |
1710471529 | Jeff Thomas Pllc | Podiatrist | 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 | 2018-06-15 |
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.