Active NPI
Midwest Urological Group, LTD.
- Specialist
- Peoria, IL
National Provider Identifier
1356307755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MIDWEST UROLOGICAL GROUP, LTD.
- Practice address
- 214 NE Glen Oak Ave
Peoria, IL 61603-4309 - Phone
- (309) 673-7349
- Fax
- (309) 673-1001
- NPI assigned
- Apr 25, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debbie Veltman
- Title
- Office Manager
- Phone
- (309) 673-7349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
214 NE Glen Oak Ave
Peoria, IL 61603-4309
Mailing address
214 NE Glen Oak Ave
Peoria, IL 61603-4318
Phone (309) 673-7349
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105053
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Urology Physician
- Peoria, IL
- NPI 1679537831
-
- Urology Physician
- Peoria, IL
- NPI 1811951072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356307755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616034318",
"telephone_number": "309-673-7349",
"fax_number": "309-673-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616034309",
"telephone_number": "309-673-7349",
"fax_number": "309-673-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST UROLOGICAL GROUP, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "VELTMAN",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "309-673-7349",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
- Midwest Orthodontic Associates
- Midwest Orthopaedic Center S C
- Midwest Pain & Spine Center, LLC
- Midwest Podiatry Group, PC
- Midwest Reproductive Care LLC (Reproductive Health and Fertility Center)
- Midwest Urological Group, LTD.
- Jeffrey Benjamin Miessau, PA-C
- Keely Renee Mihavics, PHARMD
- John Ambrose Mihelcic, MD
- Teaghan Mihelcic, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.