DR. CARL GERALD SUNDAHL (NPI# 1457515280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457515280 |
| Entity Type | Individual |
| Full Name | DR. CARL GERALD SUNDAHL |
| Credential | MD |
| Practice Address |
4519 Old Knoxville Hwy Rockford TN 37853-3023 |
| Practice Telephone | 8655736573 |
| Mailing Telephone | 8655736573 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0000007874 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0000007874 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4519 OLD KNOXVILLE HWY |
| City | ROCKFORD |
| State | TN |
| Zip Code | 37853-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079988 | Michelle Prach | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-06-30 |
| 1710585823 | Purposeful Play Pediatric Therapy Services, Pllc | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-10-12 |
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1356733968 | Tiffany Poore | Speech-Language Pathologist | 421 Pine Lakes Ln, Rockford, TN 37853-3201 | 2015-02-19 |
| 1871838656 | Takuo Sonoda | Internal Medicine | 729 Self Hollow Rd, Rockford, TN 37853-3413 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1306444070 | Susan Glover | Social Worker | 65 S Main St Lowr Level, Rockford, MI 49341-1286 | 2020-10-14 |
| 1679171433 | Annie Mae Lundgren | Transportation Broker | 7110 Forest Glen Dr Apt F, Rockford, IL 61114-8033 | 2020-10-14 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1831797141 | Camelot Care Centers, LLC | Clinic/Center | 5301 E State St Ste 208, Rockford, IL 61108-2397 | 2020-10-09 |
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1720685704 | Itzayana Rodriguez | Technician | 5037 Carol Ct, Rockford, IL 61108-4157 | 2020-10-02 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1073129425 | Bradley Theodore Dubey | Physical Therapy Assistant | 6533 Cannon Farms Dr Ne, Rockford, MI 49341-8284 | 2020-09-21 |
| Find all providers in ROCKFORD | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775775 | Rockford Cardiology Associates, Ltd | Internal Medicine | 444 Roxbury Road, Rockford, IL 61107-5059 | 2005-07-29 |
| 1508865718 | Shobashalini Chokkalingam | Internal Medicine | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2005-07-19 |
| 1194965012 | Cardiovascular Institute At Osf, LLC | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2009-03-05 |
| 1477704252 | Mazen Hadid | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-10-09 |
| 1457516965 | Rehmat Ullah Sheikh | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-07-23 |
| 1558577460 | Xu Wang | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2007-05-15 |
| 1982795894 | Andrew Kotis | Internal Medicine | 1340 Charles St, Suite 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1639260508 | Paul T Vaitkus | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1003910423 | Prasad K. Kilaru | Internal Medicine | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2006-09-08 |
| 1760497416 | Yaser Siraj | Internal Medicine | 1340 Charles St, Rockford, IL 61104-2200 | 2006-07-30 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on DR. CARL GERALD SUNDAHL.
| 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.