ALEXANDER WHITNEY (NPI# 1003307463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003307463 |
| Entity Type | Individual |
| Full Name | ALEXANDER WHITNEY |
| Credential | PA-C |
| Practice Address |
1055 Featherstone Rd Ste C Rockford IL 61107-5904 |
| Practice Telephone | 8152271055 |
| Practice Fax Number | 8152271006 |
| Mailing Telephone | 8152271055 |
| Mailing Fax Number | 8152271006 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085006485 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 FEATHERSTONE RD STE C |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
| 1033746573 | Erin Ashleigh Donahue | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-03-25 |
| 1932741717 | Jacob Dalton Boehm | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-10-12 |
| 1801369236 | Antasia M Kersch | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-01-08 |
| 1447729413 | Kelsey Michelle Jebb | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2018-11-19 |
| 1982118287 | Jeremy Brunner | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2017-11-22 |
| 1528444833 | Travis Ryan Guest | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341 | 2015-08-10 |
| 1104101823 | Douglas Alan Blazer | Physician Assistant | 3475 S Alpine Rd, Rockford, IL 61109-2604 | 2011-10-13 |
| 1922383769 | Jordan Vold | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2011-10-12 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.