STEPHANIE N PEASE


Address: 324 Roxbury Rd, Rockford, IL 61107-5090
Phone: 8153989491

STEPHANIE N PEASE (NPI# 1346788627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346788627
Entity Type Individual
Full Name STEPHANIE N PEASE
Credential PA-C
Practice Address 324 Roxbury Rd
Rockford
IL 61107-5090
Mailing Address Box 78534
Milwaukee
WI 53278-8534
Practice Telephone 8153989491
Practice Fax Number 8153817498
Mailing Telephone 8153989491
Mailing Fax Number 8153817498
Enumeration Date 2017-02-07
Last Update Date 2020-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085-006124 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 324 ROXBURY RD
City ROCKFORD
State IL
Zip Code 61107-5090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225036973 Alicia A Heuser Physician Assistant 324 Roxbury Rd, Rockford, IL 61107-5090 2005-07-07
1578180105 Anna R Gibbons Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-30
1730705732 Krista L Carlson Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-25
1821613274 Erin B Thomas Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-06-11
1053948521 Micah Lynn Ann Clutter Specialist/Technologist 324 Roxbury Rd, Rockford, IL 61107-5090 2020-03-25
1881232817 Eleni Polites Occupational Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-12-20
1316507890 Ashley Ann Smith Podiatrist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-06-18
1093371197 Christine M Piasecki Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
1831755024 Suzanne Workman Occupational Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
1861058950 Paige A Lyford Physical Therapist 324 Roxbury Rd, Rockford, IL 61107-5090 2019-05-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871063776 Amira Al-basha Physician Assistant 1639 N Alpine Rd Ste 380, Rockford, IL 61107-1440 2018-12-04
1578042982 Alyssa Margaret Vasylyuk Physician Assistant 2350 N Rockton Ave Fl 4, Rockford, IL 61103-3600 2018-08-08
1053778456 Jamie Anticevich Physician Assistant 6595 East State Street, Rockford, IL 61108-2542 2016-01-15
1437534666 Irene Dyer Physician Assistant 1560 Red Oak Ln, Rockford, IL 61107-2767 2015-07-29
1215250675 Krista R Mohamed Physician Assistant 1401 E. State St., Swedish American Hospital, Rockford, IL 61104-2315 2010-03-12
1629121009 Jason A. Kadar Physician Assistant 2902 Mcfarland Rd Ste 300, Rockford, IL 61107-6801 2007-01-19
1295805851 Kristin Lynn King-shank Physician Assistant 171 Dogwood Dr Ne, Rockford, MI 49341-7361 2006-11-09
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1952356040 Saint Anthony Medical Center Physician Assistant 6830 Villagreen Vw, Rockford, IL 61107-5639 2006-05-24
1972552131 Andrea B Fulcomer Physician Assistant 2404 Charles St, Rockford, IL 61108-1602 2006-05-08
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Competitor

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City ROCKFORD
Zip Code 61107

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Dataset Information

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.

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