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GAVIN STAMPER
NPI 1356187454
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since July 08, 2024
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 671-3000 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2025, Jan 7, 2025, Jul 8, 2024 (3 updates tracked since 2024).

About Gavin Stamper NPPES

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

GAVIN STAMPER (NPI 1356187454) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1356187454
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAVIN STAMPER
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-3082
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone(309) 671-3000
Sole ProprietorNo
Enumeration DateJuly 8, 2024
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1356187454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

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

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Gavin Stamper's NPI number?

The NPI number for Gavin Stamper is 1356187454. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Gavin Stamper located?

Gavin Stamper practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 671-3000.

What is Gavin Stamper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gavin Stamper was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.