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John Paulsen, M.D.
NPI 1174552681 · Surgery Physician · Peoria, IL
John Paulsen, M.D. is a Surgery Physician provider in Peoria, IL (NPI 1174552681).
Provider details
- NPI number
- 1174552681
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036050399 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7303 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 691-4005
Fax: (309) 691-6144
Street-level locationGet directions
Mailing address
7303 N Knoxville Ave
Peoria, IL 61614-2017
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2016-02-29
Frequently asked questions
- What is John Paulsen's NPI number?
- John Paulsen's National Provider Identifier (NPI) is 1174552681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Paulsen's specialty?
- John Paulsen is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John Paulsen located?
- John Paulsen's practice location on file with NPPES is 7303 N Knoxville Ave, Peoria, IL 61614-2017.
- What is John Paulsen's phone number?
- The practice phone number listed in the NPPES registry for John Paulsen is (309) 691-4005.
- Is John Paulsen's NPI active?
- Yes — John Paulsen's NPI (1174552681) is active in the NPPES registry as of the last update on 2016-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.