Jeffrey Poulter, M.D.

Individual Active
NPI 1174521074
Plastic Surgery Physician Bloomington, IL

Jeffrey Poulter, M.D. holds NPI 1174521074, with a primary taxonomy of plastic surgery physician and a practice location in Bloomington, IL. The number was issued on July 13, 2005 and the NPPES record was last updated on December 19, 2007. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X (IL)
Plastic and Reconstructive Surgery Physician 2086S0122X MDR5N96 (MO)
Plastic and Reconstructive Surgery Physician 2086S0122X (IL)

Practice location

1505 Eastland Dr
Ste 350
Bloomington, IL 61701-3534
Phone: (309) 663-1222

Local context

Active NPPES records list 10 providers with plastic surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 329 in Illinois and 8,845 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Jeffrey Scott Poulter
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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