SAM KUN ROH (NPI# 1295749703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295749703 |
| Entity Type | Individual |
| Full Name | SAM KUN ROH |
| Credential | MD |
| Practice Address |
1045 W Stephenson St Freeport IL 61032-4864 |
| Mailing Address |
1255 W Empire St Po Box268 Freeport IL 61032-6100 |
| Practice Telephone | 8155996218 |
| Mailing Telephone | 8155997958 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Q00000X | Spec/Tech, Pathology | 036056229 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1045 W STEPHENSON ST |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
| 1699381723 | Ryan Michael Kerr | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-09-23 |
| 1821619701 | Angela La Dow | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-05-01 |
| 1396385126 | Dawn M Zielke | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4899 | 2020-01-09 |
| 1013404151 | Linda Marie Kolka | Emergency Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2018-04-14 |
| 1093225377 | Josie Orr | Registered Nurse | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-10-02 |
| 1346769171 | Sarah E Marsh | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-09-13 |
| 1356880264 | Elizabeth Smith | Speech-Language Pathologist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-02-13 |
| 1215474358 | Courtney Braselton | Occupational Therapist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-01-27 |
| 1891140448 | Shevawn Svehla | Social Worker | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 246Q00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618401 | Jesus I Martinez | Spec/Tech, Pathology | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178168 | William Karpus | Spec/Tech, Pathology | 303 E Chicago Ave, Chicago, IL 60611-4296 | 2013-04-10 |
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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.