ERICA M DEFORD PA
NPI 1306020334
Physician Assistant - Medical in Peoria, IL

Active since December 27, 2007
2805 N KNOXVILLE AVE, PEORIA, IL 61604(309) 624-9400(309) 624-2280 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica M Deford Pa NPPES

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

ERICA M DEFORD PA (NPI 1306020334) is an individual medical provider in Peoria, Illinois, licensed in Illinois (085003126) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1306020334
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameERICA M DEFORDCredential: PA
Location Address2805 N KNOXVILLE AVEPeoria, IL 61604-2869
Mailing Address2805 N Knoxville AvePeoria, IL 61604-2869 · (309) 624-9400 · Fax (309) 624-2280
Fax(309) 624-2280
Sole ProprietorNo
Enumeration DateDecember 27, 2007
Last NPPES UpdateOctober 2, 2009
NPI 1306020334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085003126
2805 N KNOXVILLE AVE, Peoria, IL 61604

Other Names 1

Former Name (1)Erica M Plattner Pa

Other Identifiers 5

Other37-1221637Tax Id
Other776530IL · Medicare Group Pin
Medicare PINK48980
Medicare PIN809840021IL
Other809840IL · Medicare Group Ptan

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Women's Health)
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Nurse Practitioner (Women's Health)
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Internal Medicine (Gastroenterology)
2805 N KNOXVILLE AVE, SUITE 209
PEORIA, IL 61604
Clinical Nurse Specialist
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Internal Medicine (Gastroenterology)
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Physician Assistant
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Internal Medicine (Gastroenterology)
2805 N KNOXVILLE AVE
PEORIA, IL 61604
Internal Medicine (Gastroenterology)
2805 N KNOXVILLE AVE
PEORIA, IL 61604

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 Erica Deford's NPI number?

The NPI number for Erica Deford is 1306020334. It was assigned to this individual provider in the NPPES registry on December 27, 2007. The provider is also known as Erica M Plattner PA.

Where is Erica Deford located?

Erica Deford practices at 2805 N Knoxville Ave, Peoria, IL 61604. The listed phone number is (309) 624-9400.

What is Erica Deford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Erica Deford was last updated on October 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.