Olga M Peplos MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036088029 Issued in IL

Legal business name

OLGA M PEPLOS MD PC

Practice address

114 W Waverly St
Morris, IL 60450-1422

Phone

(815) 941-1580

Fax

(815) 941-1584

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Olga Marie Peplos, MD

Title

President

Phone

(815) 941-1580

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1699853911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W WAVERLY ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501422",
            "telephone_number": "815-941-1580",
            "fax_number": "815-941-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W WAVERLY ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501422",
            "telephone_number": "815-941-1580",
            "fax_number": "815-941-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA M PEPLOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PEPLOS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-941-1580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ2434",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088029001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3227807",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie O'Rourke, PHARMD
• Oak Creek Healthcare, LTD
• Victoria A Ochoa, DO
• Ohana Counseling Center, LLC
• Kenosa Kosicho Okafor, M.D.
• Diana M Olsen, APN
• Kate-Lynn M Olson-Geier, P.A.
• Jacob Olson, OT
• Omnisense LLC-Absolute Hearing Care Series
• Beth Ontrop

• Internal Medicine Physician in Morris, IL
• Providers in Morris, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.