NPIMap

Organization Active NPI

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

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1720031602
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES, S.C.
Practice address
8600 N. RT 91
#330
Peoria, IL 61615
Phone
(309) 692-2025
Fax
(309) 692-2446
NPI assigned
May 19, 2006
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mrs. Lori A. Teverbaugh, MD
Title
President
Phone
(309) 692-2025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036102227 IL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X IL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8600 N. RT 91
#330
Peoria, IL 61615

Mailing address

8600 N. RT 91
Suite 330
Peoria, IL 61615
Phone (309) 692-2025

Other names 1

  • Couri-Teverbaugh OB/GYN & Assoc S.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

435 Maxine Dr
Ste 5
Morton, IL 61550
Phone (309) 284-2262

2419 W Cornerstone Ct
Peoria, IL 61614
Phone (309) 265-3415

10 Saint Clare Ct
Ste 120
Washington, IL 61571
Phone (309) 886-4224

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1720031602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N. RT 91",
            "address_2": "SUITE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-692-2025",
            "fax_number": "309-692-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N. RT 91",
            "address_2": "#330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-692-2025",
            "fax_number": "309-692-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEVERBAUGH CROLAND & MUELLER OB/GYN & ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "TEVERBAUGH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-692-2025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036102227",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Couri-Teverbaugh OB/GYN & Assoc S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.