BRIAN THOMAS MULDER (NPI# 1558791459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558791459 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS MULDER |
| Credential | APN |
| Practice Address |
5875 E Riverside Blvd Rockford IL 61114-4937 |
| Mailing Address |
Box 78534 Milwaukee WI 53278 |
| Practice Telephone | 8153989491 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153989491 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5580-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 209-010871 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700930161 | Brian A Mulder | Dentist | 2008 Eastcastle Se, Suite C, Grand Rapids, MI 49508 | 2007-01-23 |
| 1114047487 | Brian James Mulder | Pharmacist | 2373 64th St Sw, Suite 1100, Byron Center, MI 49315-9400 | 2007-03-30 |
| Street Address |
5875 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126451 | Zeeshan Ahmad | Physical Medicine & Rehabilitation | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2005-07-01 |
| 1609415454 | Nicholas P Mckeown | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-26 |
| 1922646942 | Tori L Homb | Nurse Practitioner | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-20 |
| 1285296459 | Arron Dennis Buck | Physical Therapist | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-07-08 |
| 1740840404 | Midwest Integrated Surgeons, Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1659931319 | Spine Surgeons Integrated Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1255818894 | Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia | Anesthesiology | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2018-07-26 |
| 1568908283 | Robert S. Meyers | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2017-01-19 |
| 1427591726 | Raquel Ramirez | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-11-18 |
| 1104374503 | Amanda S. Pumilia | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052401 | Jet Healthcare LLC | Nurse Practitioner | 5979 Nebeshone Ln, Rockford, IL 61103-8926 | 2020-04-17 |
| 1760023162 | Mh Health Care Services, PC | Nurse Practitioner | 5943 E Riverside Blvd, Rockford, IL 61114-4935 | 2019-10-07 |
| 1235792045 | Michelle Anna Barrett | Nurse Practitioner | 6000 E State St Ste 1, Rockford, IL 61108-2521 | 2019-04-17 |
| 1780177030 | Emily Glass Mims | Nurse Practitioner | 9518 Us Highway 231, Rockford, AL 35132-5551 | 2018-06-12 |
| 1003269895 | Jason Roberts | Nurse Practitioner | 199 Longview Dr, Rockford, MI 49341-1130 | 2016-07-18 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1588800700 | Sylvia Ann Garza | Nurse Practitioner | 3401 N. Perryville Rd, Rockford Health Physicians, Rockford, IL 61114 | 2008-12-17 |
| 1295955284 | Jennifer Lee Binder | Nurse Practitioner | 2327 Nebraska Rd, Rockford, IL 61108-7510 | 2007-05-01 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1902995087 | Lori Ann Schultz | Nurse Practitioner | 1235 N Mulford Rd Ste 205, Rockford, IL 61107-3879 | 2006-10-12 |
| 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.