SAINT ANTHONY MEDICAL CENTER (NPI# 1699968263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699968263 |
| Entity Type | Organization |
| Organization Name | SAINT ANTHONY MEDICAL CENTER |
| Other Organization Name | OSF SPECIALTY CLINIC GUILFORD SQUARE |
| Practice Address |
698 Featherstone Rd Rockford IL 61107-6303 |
| Practice Telephone | 8153983277 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | DAVID SCHERTZ (CEO) |
| Authorized Official Telephone | 8152272161 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSF HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OSF Specialty Clinic Guilford Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023051992 | Saint Anthony Medical Center | Home Health | 5501 E State St, Rockford, IL 61108-2338 | 2006-06-14 |
| 1669428702 | Saint Anthony Medical Center | Internal Medicine | 5713 Strathmoor Dr, Rockford, IL 61107-7093 | 2006-05-26 |
| 1952356040 | Saint Anthony Medical Center | Physician Assistant | 6830 Villagreen Vw, Rockford, IL 61107-5639 | 2006-05-24 |
| 1003869967 | Saint Anthony Medical Center | Pediatrics | 556 E Grant Hwy, Marengo, IL 60152-3346 | 2006-05-19 |
| 1164475059 | Saint Anthony Medical Center | Nurse Practitioner | 9721 N Alpine Rd, Machesney Park, IL 61115-1664 | 2006-05-19 |
| 1235182288 | Saint Anthony Medical Center | Family Medicine | 143 Kishwaukee St, Belvidere, IL 61008-3507 | 2006-05-19 |
| 1225378722 | Saint Anthony Medical Center | Rehabilitation Unit | 5510 E State St, Rockford, IL 61108-2381 | 2013-02-20 |
| 1871860056 | Saint Anthony Medical Center | Neurological Surgery | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2011-11-16 |
| 1265688766 | Saint Anthony Medical Center | Internal Medicine | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2008-08-15 |
| 1730335266 | Saint Anthony Medical Center | Internal Medicine | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2008-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT ANTHONY MEDICAL CENTER | 6368 Hollywood Blvd, Los Angeles, CA 90028-6320 |
| Street Address |
698 FEATHERSTONE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595296 | Amy L Ailes Dinello | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2005-08-22 |
| 1285949800 | Syed Rafe Zaidi | Family Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2010-08-09 |
| 1154567964 | Leesa E Gillooley | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2008-12-29 |
| 1881889194 | Pedro Rodriguez | Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-10 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1891817441 | Kavitha Subramanian | Internal Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-04 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| 1750307005 | Thomas Peter Wentland | Emergency Medicine | 698 Featherstone Rd, Rockford, IL 61107 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674834 | Fatima T Mohiuddin | Allergy & Immunology | 1253 N Alpine Rd, Rockford, IL 61107 | 2006-08-31 |
| 1376586206 | Board of Trustees of The University of Illinois | Allergy & Immunology | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2006-06-14 |
| 1356321244 | Charles Frey Jr. | Allergy & Immunology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-01-18 |
| 1770563660 | Chester J. Mellies | Allergy & Immunology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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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.