Thomas R Dorsch, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036050457 Issued in IL

Practice address

3308 W Chartwell Rd
Peoria, IL 61614-2322

Phone

(309) 691-7640

Fax

(309) 691-7643

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endocrine & Diabetes, SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Peoria, IL
  • NPI 1053340620
  NPD Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1639108202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 W CHARTWELL RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142322",
            "telephone_number": "309-691-7640",
            "fax_number": "309-691-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W CHARTWELL RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142322",
            "telephone_number": "309-691-7640",
            "fax_number": "309-691-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSCH",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036050457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050457",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Thomas Dooley, MD
• Manuel I Doria Jr., MD
• Emily Dormire, DO
• Kody Duane Dormire, DO
• Deborah P. Dornaus, M. A.,LCPC
• Samantha Christine Dorsey, MS CCC/SLP-L AOS
• Jamie Doubet, APN
• Keith Michael Doubet, FNP-C
• Valerie Marie Doubet, L.M.T.
• Shawn Doud, QMHP

• Endocrinology, Diabetes & Metabolism Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.