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MR. DAVID WILLIAM JANTZEN M.D. NPI 1649451352


NPI Information

NPI: 1649451352
Provider Name: MR. DAVID WILLIAM JANTZEN, M.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
Phone: (309) 655-3453
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MR. David William Jantzen, M.D. is a pediatric cardiology pediatrics in Peoria, IL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. MR. David William Jantzen, M.D. NPI is 1649451352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603-105
Phone: (309) 655-3453
Fax: (309) 655-3410

The NPI 1649451352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 7/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301097945MICHIGANNo
2208000000XPediatrics5841NEBRASKANo
32080P0202XPediatricsPediatric Cardiology4301097945MICHIGANNo
42080P0202XPediatricsPediatric Cardiology036.138159ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.