DR. OMER YUSAF (NPI# 1669585956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669585956 |
| Entity Type | Individual |
| Full Name | DR. OMER YUSAF |
| Credential | MD |
| Practice Address |
8201 E Riverside Blvd Rockford IL 61114-2300 |
| Practice Telephone | 8159714066 |
| Practice Fax Number | 8159719299 |
| Mailing Telephone | 8159714066 |
| Mailing Fax Number | 8159719299 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036121271 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036121271 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1669585956 | 05 | |
| IL | 036121271 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Madison St, Joliet, IL 604358200 | 8157257133 | |
| 2400 N Rockton Ave, Rockford, IL 611033655 | 8159714066 | 8159719299 |
| Street Address |
8201 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865718 | Shobashalini Chokkalingam | Internal Medicine | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2005-07-19 |
| 1578190054 | Hyojin Jeon | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2020-03-25 |
| 1043850068 | Lauren E Bell | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2020-01-07 |
| 1346898210 | Casandra Kay Pihl | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-09-03 |
| 1376196196 | Taha Mohamed Djirdeh | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-21 |
| 1982256426 | Katrina Nicole Weir | Speech-Language Pathologist | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-15 |
| 1447802525 | Amit Johal | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-10 |
| 1861055899 | Meghan Creath | Speech-Language Pathologist | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-04-16 |
| 1396207346 | Assem Miari | Physician Assistant | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-04-01 |
| 1043778772 | Rhonda J Gale | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-03-12 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871838656 | Takuo Sonoda | Internal Medicine | 729 Self Hollow Rd, Rockford, TN 37853-3413 | 2012-12-04 |
| 1912216284 | Irene Boswell Md PC | Internal Medicine | 7445 Newburg Rd, Suite 103, Rockford, IL 61108-4443 | 2010-10-04 |
| 1326271743 | Syed Muhammad Murtaza Zam Rizvi | Internal Medicine | 1340 Charles St Ste 405, Rockford, IL 61104-2200 | 2009-09-02 |
| 1679714216 | John Martin Roska | Internal Medicine | 1711 Shaw Woods Dr., Rockford, IL 61107-1725 | 2009-03-11 |
| 1457515280 | Carl Gerald Sundahl | Internal Medicine | 4519 Old Knoxville Hwy, Rockford, TN 37853-3023 | 2008-07-10 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1629176060 | Christine Judith Simaytis | Internal Medicine | 4940 E State St Ste 3, Rockford, IL 61108-2271 | 2006-09-20 |
| 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.