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DR. JOHN KEVIN PAULSEN M.D.
NPI 1174552681
Surgery in Peoria, IL

Active since June 30, 2006
7303 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4005(309) 691-6144 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Kevin Paulsen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN KEVIN PAULSEN M.D. (NPI 1174552681) is an individual surgery provider in Peoria, Illinois, licensed in Illinois (036050399) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174552681
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN KEVIN PAULSENCredential: M.D.
Location Address7303 N KNOXVILLE AVEPeoria, IL 61614-2017
Mailing Address7303 N Knoxville AvePeoria, IL 61614-2017 · (309) 691-4005 · Fax (309) 691-6144
Phone(309) 691-4005
Fax(309) 691-6144
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 29, 2016
✔ NPI 1174552681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036050399
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7303 N KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 4

Medicaid036050399-2IL
Medicare UPINC37019IL
Medicare PINL34250IL
Other7215166IL · Bcbs

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYME LEE PHILLIPS PA-C
Physician Assistant
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
ASSOCIATED SURGICAL GROUP, SC
Specialist
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
DR. GAVISH NAVIN PATEL M.D.
Specialist
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
MS. BETH A MYERS CST
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
MS. MICHELE M KLEIN CST/CFA
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Paulsen's NPI number?

The NPI number for John Paulsen is 1174552681. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is John Paulsen located?

John Paulsen practices at 7303 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-4005.

What is John Paulsen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for John Paulsen was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.