Bochantin Obstetrics & Gynecology Services LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036098292 Issued in IL

Legal business name

BOCHANTIN OBSTETRICS & GYNECOLOGY SERVICES LTD

Practice address

5401 N Knoxville Ave
Suite 308
Peoria, IL 61614-5098

Phone

(309) 692-5100

Fax

(309) 692-1400

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Marla Tomlinson

Title

Office Manager

Phone

(309) 692-5100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Melvin A. Fleming, M.D.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
  • NPI 1134235823
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1811016702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 308",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-692-5100",
            "fax_number": "309-692-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 308",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-692-5100",
            "fax_number": "309-692-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCHANTIN OBSTETRICS & GYNECOLOGY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-692-5100"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036098292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098292",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "09032023",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "447752",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica C Blunier, P.T
• Board of Trustees of the University of Illinois
• Bernard Asirifi Boateng, PHARMD
• Kwabena A Boateng, MD
• Lauren Boaz
• Tracy Ann Bochantin, M.D.
• Robert T Bockel, MD
• Brandon Bockewitz, MD
• Dheeraj Boddi Reddy, MD
• Micah Boehr, MD

• Obstetrics & Gynecology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.