Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
John R Soderstrom, P.A.
Physician Assistant in Peoria, IL · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1871506931
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Registry record
Entity type Individual (Type 1)
Name John R Soderstrom
Credential P.A.
Sex Male
Practice address 4909 N Glen Park Place Rd, Peoria, IL, 61614
Phone (309) 674-7546
Enumeration date Aug 13, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1871506931 active?
Yes, as of the latest NPPES snapshot, NPI 1871506931 is active (record last updated 2007-07-08).
How do I verify John Soderstrom's NPI record?
Cross-check NPI 1871506931 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → John Lomax Plastic Surgery Physician · Peoria, IL NPI 1417923517 Carl Soderstrom Dermatopathology Physician · Peoria, IL NPI 1053370759 Stuart Berryman Medical Physician Assistant · Peoria, IL NPI 1093774705 Soderstrom Dermatology Center S C Ambulatory Surgical Clinic/Center · Peoria, IL NPI 1053362343 Soderstrom Dermatology Center S C Dermatology Physician · Peoria, IL NPI 1710931670 Michael Hayes Dermatology Physician · Peoria, IL NPI 1912017245 Todd Gerlach Plastic Surgery Physician · Peoria, IL NPI 1518046044 James Jeffries Plastic and Reconstructive Surgery Physician · Peoria, IL NPI 1073655676
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.