NPIMap

Organization Active NPI

Peoria Surgical Group, LTD.

  • Surgery Physician
  • Peoria, IL
National Provider Identifier
1275542045
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PEORIA SURGICAL GROUP, LTD.
Practice address
1001 Main Street
Suite 300
Peoria, IL 61606-2037
Phone
(309) 495-0200
Fax
(309) 676-6545
NPI assigned
Aug 7, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Thomas Rossi, M.D.NPI 1851320238
Title
M.D./Vice President, Managing Part
Phone
(309) 495-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X IL Primary

Addresses

Primary practice location

1001 Main Street
Suite 300
Peoria, IL 61606-2037

Mailing address

1001 Main Street
Suite 300
Peoria, IL 61606-2037
Phone (309) 495-0200

National Provider Directory

National Provider Directory

Locations

1001 Main St
Ste 300
Peoria, IL 61606
Phone (309) 495-0200

1001 W Main St
Peoria, IL 61606
Phone (309) 495-0200

1001 W Main St
Fl 3
Peoria, IL 61606
Phone (309) 495-0200

420 NE Glen Oak Ave
Ste 301
Peoria, IL 61603

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1275542045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616062037",
            "telephone_number": "309-495-0200",
            "fax_number": "309-676-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616062037",
            "telephone_number": "309-495-0200",
            "fax_number": "309-676-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA SURGICAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "M.D./VICE PRESIDENT, MANAGING PART",
        "authorized_official_telephone_number": "309-495-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.