James Richard Pelton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

2970 Chartres St
La Salle, IL 61301-1097

Phone

(815) 223-9678

Fax

(815) 223-9683

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093800880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E JOLIET ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502208",
            "telephone_number": "815-433-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 CHARTRES ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011097",
            "telephone_number": "815-223-9678",
            "fax_number": "815-223-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leeann Olesen, NP-C
• Jeanna Richelle Olivero
• Jack Edgar Osterhaus, DDS
• Kimberly Payne, LCSW
• Scott Payne
• Glen R Peterson, D.C.
• Mary Therese Petrella, ND MS RN FNP BC
• Pharmblue Illinois LLC
• Joscelyn Catrine Pohar
• Shelly D Punke, LCPC

• Family Medicine Physician in La Salle, IL
• Providers in La Salle, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.