Illinois Gastroenterology Institute, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC

Doing business as

Peoria Anesthesia Service

Practice address

1001 Main St Ste 500a
Peoria, IL 61606-2038

Phone

(309) 495-1121

NPI assigned

Jun 29, 2018

Last updated

Aug 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLCAs reported in NPPES

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

Authorized official

Name

Terry L BaldwinNPI 1346276284

Title

MD

Phone

(309) 672-4980

Specialties & licenses 2

Addresses

Other names 1

• Peoria Anesthesia Service Doing business as

Part of

Gastroenterology LTD

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Illinois Gastroenterology Institute, PLLC

  • Gastroenterology Physician
  • Peoria, IL
  • NPI 1275575706
  NPPES parent name

Practitioners 4

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.

• Terry L Baldwin, M.D.

  • Gastroenterology Physician
  • Peoria, IL
  • NPI 1346276284
  Authorized official Same address or phone
• Steven O Ikenberry, M.D.

  • Gastroenterology Physician
  • Rockford, IL
  • NPI 1336135540
  NPD (past)
• Stanley M Cohen, M.D.

  • Gastroenterology Physician
  • Cleveland, OH
  • NPI 1316975840
  NPD (past)
• James L Watkins, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1326002395
  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1649765835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST STE 500A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616062038",
            "telephone_number": "309-495-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST STE 500A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616062038",
            "telephone_number": "309-495-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC",
        "enumeration_date": "2018-06-29",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "309-672-4980"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoria Anesthesia Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shams B Ilahi, MD
• Tahir Ilahi, MD
• Illinois Alcohol and Drug Evaluation Service, Inc (IADES, Inc.)
• Illinois Cardiac Surgery Associates SC
• Illinois Gastroenterology Institute, PLLC
• Illinois Hospital Medicine Associates PC
• Illinois Mentor (Peoria Site 014030)
• Illinois Neurological Institute-Physicians LLC
• Illinois Neurological Institute-Physicians LLC
• Illinois Neuroscience Institute

• Anesthesiology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.