Teverbaugh Croland and Mueller OB/GYN and Associates, S.C.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209013293 Issued in IL

Legal business name

TEVERBAUGH CROLAND AND MUELLER OB/GYN AND ASSOCIATES, S.C.

Practice address

8600 N State Route 91
Suite 330
Peoria, IL 61615-9541

Phone

(309) 692-2025

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Janell M Pettry

Title

Office Manager

Phone

(309) 621-4604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1669840575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "SUITE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159541",
            "telephone_number": "309-692-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "SUITE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159541",
            "telephone_number": "309-692-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEVERBAUGH CROLAND AND MUELLER OB/GYN AND ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PETTRY",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-621-4604"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan T. Tervo, D.D.S.
• Bridget Kathleen Tesher
• Sabrina Tessier, DT
• Stephanie Teufel, DPT
• Teverbaugh Croland & Mueller OB/GYN & Associates, S.C.
• Lori A Teverbaugh, M.D.
• Veerandar Singh Thakur
• Christine L Tharenos, MD
• Manisha Tharoor, M.D
• Dakoda Marie Tharp, RBT

• All providers in Peoria, IL
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.