Mahoney & Associates PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005175 Issued in IL

Legal business name

MAHONEY & ASSOCIATES PC

Practice address

5401 N Knoxville Ave
Suite 117
Peoria, IL 61614-5098

Phone

(309) 689-8888

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Abigail Mahoney, DPM

Title

Physician/Owner

Phone

(309) 689-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1538596416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 117",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-689-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 117",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-689-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONEY & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "309-689-8888",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Michelle Maher, PT, DPT
• Laticia N Maher, LMT
• Jainil Maheshwari, MD
• Mary Carol Mahieu, PTA
• Phoebe Ann Maholovich, RN
• Abigail Alayne Mahoney, DPM
• John Damen Mahoney, M.D.
• Dejan Maksimovic, DO
• Jane Ho Maksimovic, D.O.
• James Joseph Malavolti, D.C.

• Foot & Ankle Surgery Podiatrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.