JAMES R DEBORD – NPI #1699783886
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
JAMES R DEBORD is a surgeon located in PEORIA, IL. NPPES has assigned the NPI number 1699783886 to JAMES R DEBORD on August 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JAMES R DEBORD is also known by the name VASCULAR LABORATORY SERVICES. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 15 years ago on Jun 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES R DEBORD below.
NPI Profile for
JAMES R DEBORD
(about 20 years ago)
PEORIA, IL 61614-5016 Phone: (877) 852-4669 Fax:
PEORIA, IL 61612-0140 Phone: (877) 852-4669 Fax:
PRESIDENT
Phone: (877) 852-4669
Identifiers for JAMES R DEBORD
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | IL | 07200604 |
| OTHER | RAILROAD MEDICARE | IL | 330001311 |
| MEDICAID | IL | 0360520633 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.