John E Augspurger, M.D.
Individual provider Active NPI Family Medicine Physician · Peoria, IL
NPI 1376749002 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376749002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 5815 N. Aspenwood Drive
#5205
Peoria, IL 61615 - Phone
- (309) 369-0972
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27665 | IA | MD | Family Medicine Physician |
| 036-069558 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Family Medicine | Past | Accepting new patients |
| CGH Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27665 | IA | |
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
5815 N. Aspenwood Drive
#5205
Peoria, IL 61615
Mailing address
5815 N. Aspenwood Drive
#5205
Peoria, IL 61615
Phone (309) 369-0972
Other providers in Peoria, IL
- Kaylee Atria
- Bethany Atterberry
- Joshua Michael Auer
- Lauren Hope Auer
- Samantha Mae Aufderhaar
- Cynthia Angela Augustin
- Bhagat Aulakh
- Aunt Martha'S Health and Wellness, Inc.
- Aunt Martha'S Health and Wellness, Inc.
- Aunt Martha'S Health and Wellness, Inc.
All providers in Peoria, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.