DR. MASUD IQUBAL MALIK (NPI# 1679580807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679580807 |
| Entity Type | Individual |
| Full Name | DR. MASUD IQUBAL MALIK |
| Credential | MD |
| Practice Address |
3865 North Mulford Road Rockford IL 61114 |
| Mailing Address |
3865 N Mulford Road Rockford IL 61114 |
| Practice Telephone | 8153992190 |
| Practice Fax Number | 8153995543 |
| Mailing Telephone | 8153992190 |
| Mailing Fax Number | 8153995543 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036-110588 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE ID UNSPECIFIED | 214298 | 01 |
| IL | 036110588 | 05 |
| Street Address |
3865 NORTH MULFORD ROAD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| 1225150709 | University of Wisconsin Medical Foundation | Ophthalmology | 345 Executive Pkwy, Suite M4, Rockford, IL 61107-5340 | 2007-04-04 |
| 1902906803 | Malik Eye Institute, L.L.C. | Ophthalmology | 3865 N. Mulford Rd., Rockford, IL 61114-5603 | 2006-09-22 |
| 1295844934 | Woosuk Steve Yoon | Ophthalmology | 4777 E State St, Rockford, IL 61108-2273 | 2006-08-29 |
| 1770698508 | Nelson P Gurney | Ophthalmology | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2006-08-20 |
| 1750304952 | Mitul Rohit Vakharia | Ophthalmology | New Vision of Illinois Eye Associates, 2929 Mcfarland Road, Rockford, IL 61107 | 2006-07-26 |
| 1215982822 | Richard Terry Coppoletti | Ophthalmology | 4320 Morsay Dr, Rockford, IL 61107-4877 | 2006-05-23 |
| 1871559336 | David I Turok | Ophthalmology | 3865 N Mulford Rd, Rockford, IL 61114-5603 | 2006-04-25 |
| 1134127871 | Richard A Miller | Ophthalmology | 2995 Eastrock Dr, Rockford, IL 61109-1737 | 2005-07-07 |
| 1760489785 | New Vision of Illinois, LLC | Ophthalmology | 2929 Mcfarland Road, Rockford, IL 61107 | 2005-07-05 |
| 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.