Organization Active NPI

Medical Management Innovations, Inc.

  • Case Management Agency
  • West Peoria, IL
National Provider Identifier
1851849764
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MEDICAL MANAGEMENT INNOVATIONS, INC.
Practice address
3000 W Rohmann Ave
Suite 5
West Peoria, IL 61604-4842
Phone
(309) 673-5699
Fax
(309) 676-5771
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mr. Richard David Pflederer
Title
Ceo
Phone
(309) 673-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3000 W Rohmann Ave
Suite 5
West Peoria, IL 61604-4842

Mailing address

3000 W Rohmann Ave
Suite 5
West Peoria, IL 61604-4842
Phone (309) 673-5699

Other names 1

  • MMI of Illinois, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3000 W Rohmann Ave
Ste 5
West Peoria, IL 61604
Phone (309) 673-5699

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1851849764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W ROHMANN AVE",
            "address_2": "SUITE 5",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616044842",
            "telephone_number": "309-673-5699",
            "fax_number": "309-676-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W ROHMANN AVE",
            "address_2": "SUITE 5",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616044842",
            "telephone_number": "309-673-5699",
            "fax_number": "309-676-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT INNOVATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PFLEDERER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-673-5699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMI of Illinois, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.