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MIDWEST PODIATRY GROUP, PC
NPI 1184731663
Podiatrist - Foot & Ankle Surgery in Peoria, IL

Active since August 23, 2006
3827 N PROSPECT RD, PEORIA, IL 61616(309) 686-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Podiatry Group, Pc NPPES

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

MIDWEST PODIATRY GROUP, PC (NPI 1184731663) is a healthcare organization registered as a foot & ankle surgery in Peoria, Illinois and active in the NPI registry since August 2006. The organization lists Donald Joe Sheller, President, as its authorized official.

NPPES Registry Identity

NPI1184731663
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMIDWEST PODIATRY GROUP, PC
Location Address3827 N PROSPECT RDPeoria, IL 61616-7767
Mailing Address3827 N Prospect RdPeoria, IL 61616-7767 · (309) 686-1000
Phone(309) 686-1000
Organization SubpartNo
Authorized OfficialDonald Joe ShellerPresident · (309) 686-1000
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1184731663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016003172
3827 N PROSPECT RD, Peoria, IL 61616
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Other Identifiers 4

Medicare ID-Type Unspecified205059IL · Group Provider Number
Medicare NSC4768490001IL
OtherDA0891IL · Railroad Medicare
Medicaid016003172IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DONALD JOE SHELLER DPM
Podiatrist (Foot & Ankle Surgery)
3827 N PROSPECT RD
PEORIA, IL 61616
Peoria County (309) 686-1000

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 Midwest Podiatry Group, PC's NPI number?

The NPI number for Midwest Podiatry Group, PC is 1184731663. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Midwest Podiatry Group, PC located?

Midwest Podiatry Group, PC is located at 3827 N Prospect Rd, Peoria, IL 61616. The listed phone number is (309) 686-1000.

What is Midwest Podiatry Group, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Midwest Podiatry Group, PC was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.