KERRY PANOZZO MD PC (NPI# 1265411987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265411987 |
| Entity Type | Organization |
| Organization Name | KERRY PANOZZO MD PC |
| Practice Address |
4110 Blackhawk Rd Ste 2 Suite #2 Rock Island IL 61201-7039 |
| Practice Telephone | 3094287055 |
| Practice Fax Number | 3092650118 |
| Mailing Telephone | 3094287055 |
| Mailing Fax Number | 3092650118 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | KERRY P PANOZZO (PRESIDENT) |
| Authorized Official Telephone | 3097629711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036090677 | IL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036090677 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1535666 | 05 | |
| IA | 0535666 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028744 | Kerry Panozzo Md PC | Clinic/Center | 3170 E 53rd St, Davenport, IA 52807-3864 | 2019-05-14 |
| Street Address |
4110 BLACKHAWK RD STE 2 SUITE #2 |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-7039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017957 | Kerry P Panozzo | Anesthesiology | 4110 Blackhawk Rd Ste 2, Rock Island, IL 61201-7039 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417370537 | Interventions In Pain Management LLC | Anesthesiology | 4110 Blackhawk Rd, Rock Island, IL 61201-7039 | 2014-01-24 |
| 1871704072 | Ivan Bogdanovych Kukhar | Anesthesiology | 2701 17th St, Rock Island, IL 61201-5351 | 2007-05-28 |
| 1831178573 | Jeffrey F Fullenkamp Do Ltd | Anesthesiology | 2701 17th St, Rock Island, IL 61201-5351 | 2006-01-11 |
| 1093794752 | Victor J Barney Md PC | Anesthesiology | 2701 17th St, Rock Island, IL 61201-5351 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1215552880 | Babu Prasad, Md | Anesthesiology | 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 | 2020-06-10 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1255956777 | Modern Pain Consultants | Anesthesiology | 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 | 2020-06-10 |
| 1144844036 | Interventional Pain Medicine of Chicago Sc | Anesthesiology | 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 | 2020-06-05 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1538719778 | Cpc Surgical Suite LLC | Anesthesiology | 555 W Court St Ste 100, Kankakee, IL 60901-3673 | 2019-09-19 |
| 1659854008 | Rich Noren LLC | Anesthesiology | 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 | 2018-09-12 |
| 1003336470 | Vertex Anesthesia LLC | Anesthesiology | 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 | 2017-06-26 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.