DR. OLESYA BRANDIS (NPI# 1386950319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386950319 |
| Entity Type | Individual |
| Full Name | DR. OLESYA BRANDIS |
| Credential | MD |
| Practice Address |
209 9th St Suite 200 Rockford IL 61104-2235 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 7796962750 |
| Practice Fax Number | 7796964196 |
| Mailing Telephone | 7796967150 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-125513 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036125513 | 05 |
| Street Address |
209 9TH ST SUITE 200 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639104359 | Alta L Ryan | Nurse Practitioner | 209 9th St, Suite 200, Rockford, IL 61104-2235 | 2006-07-11 |
| 1689139388 | Amy Wedel | Occupational Therapist | 209 9th St, Rockford, IL 61104-2235 | 2019-02-06 |
| 1538631114 | Samantha Elizabeth Wagner | Nurse Practitioner | 209 9th St, Rockford, IL 61104-2235 | 2018-12-20 |
| 1548754591 | Jessica Lee Driscoll | Physical Medicine & Rehabilitation | 209 9th St, Rockford, IL 61104-2235 | 2018-06-21 |
| 1346733953 | Amy L Carter | Physical Medicine & Rehabilitation | 209 9th St, Rockford, IL 61104-2235 | 2018-06-08 |
| 1659864312 | Jered Andrew Hartman | Physical Therapist | 209 9th St, Rockford, IL 61104-2235 | 2018-06-07 |
| 1669965463 | Betty Lynn Downing | Physical Therapy Assistant | 209 9th St, Rockford, IL 61104-2235 | 2018-06-07 |
| 1679066336 | Kristin Crowell Hatch | Occupational Therapist | 209 9th St, Rockford, IL 61104-2235 | 2018-06-07 |
| 1881187565 | Ray Peregrino | Physical Therapist | 209 9th St, Rockford, IL 61104-2235 | 2018-06-07 |
| 1801272836 | Laurie Hasken | Registered Nurse | 209 9th St, Suite 200, Rockford, IL 61104 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1831174127 | Jovenel Dubois | Obstetrics & Gynecology | 2780 Mcfarland Rd, University Women & Children's Health Center, Rockford, IL 61107-6807 | 2005-12-09 |
| 1073511309 | Bruce A Jasper | Obstetrics & Gynecology | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2005-07-11 |
| 1780682393 | Timothy J Durkee | Obstetrics & Gynecology | 3505 North Bell School Road, Rockford, IL 61114 | 2005-07-08 |
| 1932745825 | Swedishamerican Hospital | Obstetrics & Gynecology | 2909 N Main St, Rockford, IL 61103-3100 | 2019-11-26 |
| 1922570035 | Swedishamerican Hospital | Obstetrics & Gynecology | 815 Marchesano Dr, Rockford, IL 61102-3521 | 2018-12-31 |
| 1124467253 | Bakytbubu Arynova | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2013-06-21 |
| 1821353889 | Bryan Taylor | Obstetrics & Gynecology | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2012-07-05 |
| 1376807867 | Vernee Pia Edwards | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2012-06-28 |
| 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.