DR. FLAVIO CORDANO (NPI# 1427059237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427059237 |
Entity Type | Individual |
Full Name | DR. FLAVIO CORDANO |
Credential | DPM |
Practice Address |
534 Roxbury Rd Rockford IL 61107-5076 |
Practice Telephone | 8152267100 |
Practice Fax Number | 8153810776 |
Mailing Telephone | 8152267100 |
Mailing Fax Number | 8153810776 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2015-02-13 |
NPI Deactivation Date | 03/22/2006 |
NPI Reactivation Date | 2006-04-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
004609 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 016-004609 | 05 |
Street Address |
534 ROXBURY RD |
City | ROCKFORD |
State | IL |
Zip Code | 61107-5076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043542715 | Rockford Adult Medicine Associates S C | Internal Medicine | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2010-02-05 |
1548368475 | Advanced Pain Intervention Sc | Specialist | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2006-09-21 |
1669571170 | Lydia Savic | Internal Medicine | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2006-09-21 |
1962448332 | Alfred P Rosche IIi | Pain Medicine | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2006-06-22 |
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 |
Find all providers in zip 61107 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790137685 | Shah Foot & Ankle LLC | Podiatrist | 3851 N Mulford Rd, Rockford, IL 61114-5603 | 2016-07-05 |
1528455565 | Biren Shah | Podiatrist | 6090 Strathmoor Dr Ste 6, Rockford, IL 61107-5200 | 2015-04-16 |
1821481755 | Rps Surgical Ltd | Podiatrist | 1617 Temple Ln, Rockford, IL 61112-1045 | 2015-03-17 |
1598985939 | Tina Renee Entwistle | Podiatrist | 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | 2007-04-26 |
1578658506 | Joseph Thomas Fanara | Podiatrist | 1617 Temple Lane, Rockford, IL 61112-1045 | 2006-10-04 |
1952306045 | Dinesh C Pandya | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2005-06-16 |
1992298822 | Joshua Mark Hendricks | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2018-06-14 |
1255852877 | Brittany Nicole Wojnicki | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2017-07-05 |
1376921072 | Templin & Associates Podiatry P.C. | Podiatrist | 5695 Strathmoor Dr, Suite 1, Rockford, IL 61107-5192 | 2015-05-13 |
1205198157 | Kyle V Templin | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2012-06-15 |
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.