John Marshall (NPI# 1366471997, PAC ID# 2961392410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1366471997 |
| PAC ID by PECOS | 2961392410 |
| Professional Enrollment ID | I20101217000856 |
| Full Name | John Marshall |
| Organization Legal Name | PEORIA SURGICAL GROUP, LTD. |
| Address |
1001 W Main St 3rd Floor Peoria IL 61606-1277 |
| Phone Number | 3094950200 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9335039882 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140064 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 | 3094950200 | PEORIA SURGICAL GROUP, LTD. |
| Organization Legal Name | PEORIA SURGICAL GROUP, LTD. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric T Elwood | Plastic and Reconstructive Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Rachel Hutsell-delong | Nurse Practitioner | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Glyn E Jones | Plastic and Reconstructive Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Jacob R Hopping | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Chadrick R Evans | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Robin A Alley | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Richard C Anderson | Thoracic Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Justin Lee Fischer | Colorectal Surgery (proctology) | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Sonia Tewani Orcutt | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Steven S Tsoraides | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Street Address |
1001 W MAIN ST 3RD FLOOR |
| City | PEORIA |
| State | IL |
| Zip | 61606-1277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric T Elwood | Plastic and Reconstructive Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Rachel Hutsell-delong | Nurse Practitioner | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Glyn E Jones | Plastic and Reconstructive Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Jacob R Hopping | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Chadrick R Evans | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Robin A Alley | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Richard C Anderson | Thoracic Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Justin Lee Fischer | Colorectal Surgery (proctology) | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Sonia Tewani Orcutt | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Steven S Tsoraides | General Surgery | Peoria Surgical Group, Ltd. | 1001 W Main St 3rd Floor, Peoria, IL 61606-1277 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| M Teresa C Fraser | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Maria M Karbowskia Jankowska | Physical Medicine and Rehabilitation | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Gregory M Blume | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Melissa A Glass | Nurse Practitioner | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Vahid Tohidi | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Hrachya Nersesyan | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Christopher M Zallek | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Ruth A Arms | Certified Clinical Nurse Specialist (cns) | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Shanta D Mattai | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Julia Biernot | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Find all physicians in zip 61606 | |||
| City | PEORIA |
| Zip Code | 61606 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PEORIA + GENERAL SURGERY |
Please comment or provide details below to improve the information on John Marshall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.