Peoria Pulmonary Associates, LTD.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PEORIA PULMONARY ASSOCIATES, LTD.

Practice address

1001 Main St
Suite 200
Peoria, IL 61606-1907

Phone

(309) 672-5682

Fax

(309) 672-3147

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Janet L Jackson

Title

Emr Manager

Phone

(309) 672-5682

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Illinois Lung Institute Other name

Practitioners 1

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

• Kishore M Karamchandani, M.D.

  • Pulmonary Disease Physician
  • Bloomington, IL
  • NPI 1215923065
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1831143585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061907",
            "telephone_number": "309-672-5682",
            "fax_number": "309-672-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061907",
            "telephone_number": "309-672-5682",
            "fax_number": "309-672-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA PULMONARY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMR MANAGER",
        "authorized_official_telephone_number": "309-672-5682"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "7215056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Lung Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peoria Non- Emergency Medical Transport
• Peoria Obstetrics & Gynecology of Central Illinois
• Peoria Obstetrics & Gynecology, S.C.
• Peoria Podiatry Group PC
• Peoria Psychological Associates, P.C.
• Peoria School Dist 150
• Peoria School District 150
• Peoria SLF LP
• Peoria SLF, LLC
• Peoria Specialty, Inc.

• Pulmonary Disease Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.