MERRIE VISCARRA (NPI# 1003802281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003802281 |
| Entity Type | Individual |
| Full Name | MERRIE VISCARRA |
| Credential | DO |
| Practice Address |
1530 N Randall Rd Ste 210 Elgin IL 60123-7879 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 2247607322 |
| Practice Fax Number | 2245358252 |
| Mailing Telephone | 4148584106 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 036113267 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036113267 | 05 | |
| IL | BCBS PROVIDER ID | 1633786 | 01 |
| IL | RAILROAD MEDICARE | P00255743 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1990 Larkin Ave, Suite 3, Elgin, IL 601235827 | 8472895727 | 8478885469 |
| Street Address |
1530 N RANDALL RD STE 210 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-7879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548726912 | Daniel Joseph Ritz | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2019-02-11 |
| 1699263731 | Tracy Shadley | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2018-04-24 |
| 1356711584 | William Larsen | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2015-09-30 |
| 1629481411 | Latisha Kanika Anami | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-06-09 |
| 1164845152 | Elizabeth Jarrin | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2014-01-27 |
| 1184987497 | Jennifer K Barham | Nurse Practitioner | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2012-06-21 |
| 1487910121 | Sondra L Krahel | Registered Nurse | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2012-04-06 |
| 1730342593 | Neil Kishor Patel | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2008-07-02 |
| 1396922936 | Judith M Rossbach | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123 | 2008-01-25 |
| 1942372537 | Jason J Graf | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393569 | World's Finest Physical Medicine & Rehabilitation, LLC | Physical Medicine & Rehabilitation | 20 Pinnacle Pkwy, Elgin, SC 29045-8389 | 2020-07-17 |
| 1215954185 | Lynn Mershon Do Ltd | Physical Medicine & Rehabilitation | 1990 Larkin Ave, Ste 3, Elgin, IL 60123 | 2006-07-16 |
| 1942799747 | Austin Physiatry LLC | Physical Medicine & Rehabilitation | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-05-07 |
| 1306200340 | Daniel Bowen Wei | Physical Medicine & Rehabilitation | 1990 Larkin Ave Ste 3, Elgin, IL 60123-5827 | 2016-04-06 |
| 1861802621 | Patrick Dolan | Physical Medicine & Rehabilitation | 1990 Larkin Ave Ste 3, Elgin, IL 60123-5827 | 2014-05-02 |
| 1972833663 | Yarkony Rehabilitation Associates Ltd | Physical Medicine & Rehabilitation | 1975 Lin Lor Ln, Suite 195, Elgin, IL 60123-4902 | 2010-01-03 |
| 1730342593 | Neil Kishor Patel | Physical Medicine & Rehabilitation | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2008-07-02 |
| 1679610810 | James H Cohn | Physical Medicine & Rehabilitation | 1990 Larkin Ave, Suite 3, Elgin, IL 60123-5827 | 2007-01-30 |
| 1033126008 | Lynn Rae Mershon | Physical Medicine & Rehabilitation | 1990 Larkin Ave, Suite 3, Elgin, IL 60123 | 2006-08-02 |
| 1710993126 | Gary Michael Yarkony | Physical Medicine & Rehabilitation | 1975 Lin Lor Ln, Suite 195, Elgin, IL 60123-4902 | 2006-07-31 |
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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.