PROCTOR HEALTH SYSTEMS
NPI 1134173917
Family Medicine in Peoria, IL
NPI Status: Active since May 19, 2006
Contact Information
5401 N KNOXVILLE AVE
SUITE 209
PEORIA, IL
ZIP 61614
Phone: (309) 689-6049
Fax: (309) 689-6092
- Organization
- Family Medicine
- Accepts Insurance
About PROCTOR HEALTH SYSTEMS
This page provides the complete NPI Profile along with additional information for Proctor Health Systems, a primary care provider established in Peoria, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1134173917 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Proctor Health Systems operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Carrie Chiaravalle (Director)
- NPI
- 1134173917
- Provider Name
- PROCTOR HEALTH SYSTEMS
- Entity Type
- Organization
- Location Address
- 5401 N KNOXVILLE AVE SUITE 209 PEORIA, IL 61614
- Location Phone
- (309) 689-6049
- Location Fax
- (309) 689-6092
- Mailing Address
- 5401 N KNOXVILLE AVE SUITE 209 PEORIA, IL 61614
- Mailing Phone
- (309) 689-6049
- Mailing Fax
- (309) 689-6092
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 11-01-2007
- Code Navigator
A primary care provider (PCP) like Proctor Health Systems sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 3 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | |
| 4 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 242904 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| CD8123 | OTHER (01) | IL | RAILROAD MEDICARE |
| CD8124 | OTHER (01) | IL | RAILROAD MEDICARE |
| 242900 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 242902 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 242903 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 7232122 | OTHER (01) | IL | BC BS OF ILLINOIS |
| 242901 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 7 | 3 | 9 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 7 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 7 + 6 + 9 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1134173917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871597450 | DR. EDWARD A RUFUS JR MD Individual | Internal Medicine | 5401 N KNOXVILLE AVE SUITE 306 PEORIA, IL 61614 (309) 691-7890 |
| 1972509743 | BRUCE BING CHIEN MD Individual | Anesthesiology (Pain Medicine) | 5401 N KNOXVILLE AVE STE 212 PEORIA, IL 61614 (309) 691-8973 |
| 1184624280 | DR. ROBERT ALLAN LIZER D.O. Individual | Family Medicine | 5401 N KNOXVILLE AVE SUITE 412 PEORIA, IL 61614 (309) 692-4375 |
| 1831181726 | DIETRA DUFFALA TEICHMANN PH.D. Individual | Clinical Neuropsychologist | 5401 N KNOXVILLE AVE SUITE 217 PEORIA, IL 61614 (309) 282-1864 |
| 1245223130 | DR. TIMOTHY M LAHOOD M.D. Individual | Family Medicine | 5401 N KNOXVILLE AVE SUITE 400 PEORIA, IL 61614 (309) 689-0909 |
| 1144291055 | DR. ANTOINETTE T LEVASSEUR M.D. Individual | Obstetrics & Gynecology | 5401 N KNOXVILLE AVE SUITE 208 PEORIA, IL 61614 (309) 692-7400 |
| 1053383471 | MS. BARBARA J NALL APN Individual | Nurse Practitioner (Women's Health) | 5401 N KNOXVILLE AVE SUITE 308 PEORIA, IL 61614 (309) 692-5100 |
| 1417920232 | DR. GENE C CHENG M.D. Individual | Psychiatry & Neurology (Neurology) | 5401 N KNOXVILLE AVE SUITE 414 PEORIA, IL 61614 (309) 629-9516 |
| 1508839176 | DR. JAMES J MCCABE MD Individual | Internal Medicine (Pulmonary Disease) | 5401 N KNOXVILLE AVE SUITE 203 PEORIA, IL 61614 (309) 692-0422 |
| 1033163761 | PROCTOR HEALTH SYSTEMS Organization | Clinic/Center (Medical Specialty) | 5401 N KNOXVILLE AVE SUITE 103 PEORIA, IL 61614 (309) 691-7800 |
| 1518910363 | PROCTOR HEALTH SYSTEMS Organization | Clinic/Center (Rehabilitation) | 5401 N KNOXVILLE AVE SUITE 218 PEORIA, IL 61614 (309) 693-2244 |
| 1306890108 | PROCTOR HEALTH SYSTEMS Organization | Clinic/Center (Primary Care) | 5401 N KNOXVILLE AVE SUITE 300 PEORIA, IL 61614 (309) 683-1200 |
| 1205883741 | JEROME P KRAFT MD Individual | Orthopaedic Surgery | 5401 N KNOXVILLE AVE SUITE 400 PEORIA, IL 61614 (309) 692-6644 |
| 1740227032 | GEORGE W LANE SR. MD Individual | Orthopaedic Surgery | 5401 N KNOXVILLE AVE SUITE 400 PEORIA, IL 61614 (309) 692-6644 |
| 1396789509 | MARY L BRENNAN NP Individual | Nurse Practitioner | 5401 N KNOXVILLE AVE SUITE 119 PEORIA, IL 61614 (309) 692-1700 |
| 1609892728 | DR. CHANG KI SONG MD Individual | Surgery | 5401 N KNOXVILLE AVE SUITE 217 PEORIA, IL 61614 (309) 691-1092 |
| 1013923929 | YIBING LI MD Individual | Physical Medicine & Rehabilitation | 5401 N KNOXVILLE AVE STE 117 PEORIA, IL 61614 (309) 689-8888 |
| 1336255009 | MS. TRACY ANN BOCHANTIN M.D. Individual | Obstetrics & Gynecology | 5401 N KNOXVILLE AVE SUITE 308 PEORIA, IL 61614 (309) 692-5100 |
| 1336251958 | JENECSIS CASTRO-SKOGLUND Individual | Internal Medicine | 5401 N KNOXVILLE AVE SUITE 114 PEORIA, IL 61614 (309) 689-8370 |
| 1992808489 | MR. PRENTISS BERNARD CARTER III MD Individual | Obstetrics & Gynecology | 5401 N KNOXVILLE AVE SUITE 308 PEORIA, IL 61614 (309) 692-5100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134173917, enumerated in the NPI registry as an "organization" on May 19, 2006
The provider is located at 5401 N Knoxville Ave Suite 209 Peoria, Il 61614 and the phone number is (309) 689-6049
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.