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

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

Organization subpart

No

Name

Mrs. Lori A. Teverbaugh, MD

Title

President

Phone

(309) 692-2025

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Alwan Percell, P.A.-C.

  • Physician Assistant
  • Bloomington, IL
  • NPI 1588653935
  NPD
• Michele A Couri, M.D.

  • Specialist
  • Peoria, IL
  • NPI 1861471583
  NPD
• Dana Humes Goff, A.P.N., C.N.M.

  • Advanced Practice Midwife
  • Peoria, IL
  • NPI 1043205644
  NPD
• Kaleb L. Jacobs, D.O.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
  • NPI 1124468129

  Obstetrics & Gynecology

  NPD
• Hope Placher, PA-C

  • Physician Assistant
  • Peoria, IL
  • NPI 1659525855
  NPD

Locations

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2011.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07232044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Couri-Teverbaugh OB/GYN & Assoc S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• All providers in Peoria, IL
• Obstetrics & Gynecology Physician in Illinois

• 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.