PEORIA PODIATRY GROUP PC
NPI 1588813133
Podiatrist - Primary Podiatric Medicine in Peoria, IL

Active since September 18, 2008
614 SPRING ST, PEORIA, IL 61603(309) 637-2325 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Peoria Podiatry Group Pc NPPES

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

PEORIA PODIATRY GROUP PC (NPI 1588813133) is a healthcare organization registered as a primary podiatric medicine in Peoria, Illinois and active in the NPI registry since September 2008. The organization lists John Daniel Ruff, President, as its authorized official.

NPPES Registry Identity

NPI1588813133
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePEORIA PODIATRY GROUP PC
Location Address614 SPRING STPeoria, IL 61603-4133
Mailing Address614 Spring StPeoria, IL 61603-4133 · (309) 637-2325
Organization SubpartNo
Authorized OfficialJohn Daniel RuffPresident · (309) 637-3668
Enumeration DateSeptember 18, 2008
Last NPPES UpdateJuly 24, 2009
✔ NPI 1588813133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in IL · 016003701
614 SPRING ST, Peoria, IL 61603

Other Identifiers 8

Medicaid016003701IL
Other1588813133(GRP.NPI)IL · John D Ruff Dpm
Medicare UPINT38405IL
Medicare PIN742741001IL
Other1598926289(INDNPI)IL · Associate-rachel S Grieder, Dpm
Other1588813133 (GRP NPI)IL · Associate--rachel S Grieder, Dpm
Other1366440166IL · John D Ruff Dpm
Medicare NSC6169990001IL

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.

Podiatrist (Primary Podiatric Medicine)
614 SPRING ST
PEORIA, IL 61603

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 Peoria Podiatry Group PC's NPI number?

The NPI number for Peoria Podiatry Group PC is 1588813133. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Peoria Podiatry Group PC located?

Peoria Podiatry Group PC is located at 614 Spring St, Peoria, IL 61603. The listed phone number is (309) 637-2325.

What is Peoria Podiatry Group PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Peoria Podiatry Group PC was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.