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MIDWEST ORTHOPAEDIC CENTER S C
NPI 1710938006
Specialist in Peoria, IL

Active since May 12, 2006CLIA 14D0994661 · Waiver
6000 N ALLEN ROAD, PEORIA, IL 61614(309) 691-1400 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Orthopaedic Center S C NPPES

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

MIDWEST ORTHOPAEDIC CENTER S C (NPI 1710938006) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Derek Armstrong, Coo, as its authorized official.

NPPES Registry Identity

NPI1710938006
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIDWEST ORTHOPAEDIC CENTER S C
Location Address6000 N ALLEN ROADPeoria, IL 61614-3294
Mailing Address6000 N Allen RoadPeoria, IL 61614-3294 · (309) 691-1400
Phone(309) 691-1400
Organization SubpartNo
Authorized OfficialDerek ArmstrongCoo · (309) 691-1400
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 31, 2019
✔ NPI 1710938006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6000 N ALLEN ROAD, Peoria, IL 61614
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0994661

Midwest Orthopaedic Center S C · Peoria, IL
Active · expires Feb 10, 2027
CLIA Number14D0994661
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorChristine Finley
Laboratory Phone(309) 691-1400
Laboratory LocationMidwest Orthopaedic Center S C6000 N Allen Road, Peoria, IL 61614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. BRENT C JOHNSON M.D.
Orthopaedic Surgery (Sports Medicine)
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
LINDA MARIE ELLIOTT PTA
Physical Therapy Assistant
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
STEPHANIE G. RANDELL O.T.
Occupational Therapist
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
DR. JOHN DAMEN MAHONEY M.D.
Specialist
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
JELANI KEHINDE THORNTON OT
Occupational Therapist
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
KELLY A WINTERS ATC
Specialist/Technologist (Athletic Trainer)
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
PENNY RENE SPRADLIN PTA
Physical Therapy Assistant
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400
DR. THOMAS J MULVEY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6000 N ALLEN ROAD
PEORIA, IL 61614
Peoria County (309) 691-1400

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 Orthopaedic Center S C's NPI number?

The NPI number for Midwest Orthopaedic Center S C is 1710938006. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Midwest Orthopaedic Center S C located?

Midwest Orthopaedic Center S C is located at 6000 N Allen Road, Peoria, IL 61614. The listed phone number is (309) 691-1400.

What is Midwest Orthopaedic Center S C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Midwest Orthopaedic Center S C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0994661) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Orthopaedic Center S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Midwest Orthopaedic Center S C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midwest Orthopaedic Center S C was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.