MS. MOLLY ROZEBOOM


Address: 3401 N Perryville Rd, Rockford, IL 61114-8011
Phone: 8159712000

MS. MOLLY ROZEBOOM (NPI# 1598263618) 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) 1598263618
Entity Type Individual
Full Name MS. MOLLY ROZEBOOM
Credential PA-C
Practice Address 3401 N Perryville Rd
Rockford
IL 61114-8011
Mailing Address 3401 N Perryville Rd Ste 302
Rockford
IL 61114-8011
Practice Telephone 8159712000
Mailing Telephone 8159712000
Enumeration Date 2018-01-23
Last Update Date 2018-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085.006487 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3401 N PERRYVILLE RD
City ROCKFORD
State IL
Zip Code 61114-8011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720068695 Fazlur R. Zahurullah Otolaryngology 3401 N Perryville Rd, Rockford, IL 61114-8011 2006-01-18
1528513124 Rebecca J Nygren Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2016-08-24
1164812541 Colette Carter Nurse Practitioner 3401 N Perryville Rd, Rockford, IL 61114 2015-01-23
1598164469 Heidi Johns-fiedler Speech-Language Pathologist 3401 N Perryville Rd, Rockford, IL 61114-8011 2014-08-17
1205261724 Michelle Lee Cleveland Nurse Practitioner 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 2013-09-04
1518229210 Justin William Johnson Optometrist 3401 N Perryville Rd, Rockford, IL 61114-8011 2012-06-09
1659667186 Pradeepa Franklin Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2011-06-23
1295067254 Julie A Panek Physical Therapist 3401 N Perryville Rd, Rockford, IL 61114-8011 2010-02-02
1043448111 Raju M Shanmugam Family Medicine 3401 N Perryville Rd, Rockford, IL 61114-8011 2009-06-29
1225289358 Lisa A Angel Physical Therapist 3401 N Perryville Rd, Physical Therapy Dept, Rockford, IL 61114-8011 2008-10-07
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Providers in the same zip code

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
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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
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61114

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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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