Active NPI
Robert Alan Westefer, M.D.
- Obstetrics & Gynecology Physician
- Peoria, IL
National Provider Identifier
1205856358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- 6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850 - Phone
- (309) 691-1259
- Fax
- (309) 683-8911
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850
Mailing address
6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850
Phone (309) 691-1259
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007223615 | Other | IL | BCBS PROVIDER ID# |
| 009045 | Other | IL | HEALTH ALLIANCE PROVIDER |
| IL0102 | Other | IL | JOHN DEERE PROVIDER ID# |
| 166141 | Other | IL | HEALTHLINK PROVIDER ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-059816 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1205856358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6915 N KNOXVILLE AVE",
"address_2": "SUITE 1",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142850",
"telephone_number": "309-691-1259",
"fax_number": "309-683-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 N KNOXVILLE AVE",
"address_2": "SUITE 1",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142850",
"telephone_number": "309-691-1259",
"fax_number": "309-683-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTEFER",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID#",
"identifier": "0007223615",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PROVIDER",
"identifier": "009045",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER ID#",
"identifier": "IL0102",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER ID#",
"identifier": "166141",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.