DR. DAVID ALLEN WIGHT (NPI# 1740471317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740471317 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALLEN WIGHT |
| Credential | M.D. |
| Practice Address |
7019 Rote Rd Ste 105 Rockford IL 61107-2611 |
| Practice Telephone | 8153810900 |
| Mailing Telephone | 8153810900 |
| Mailing Fax Number | 8153951775 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036-100362 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UPIN | G41805 | 01 |
| Street Address |
7019 ROTE RD STE 105 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-2611 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110708 | Jamie Therse Brewer | Psychiatry & Neurology | 1401 E State St Fl 4, Rockford, IL 61104-2315 | 2018-10-24 |
| 1447608492 | Jessica Stier | Psychiatry & Neurology | 1643 N Alpine Rd Ste 104-528, Rockford, IL 61107-1462 | 2016-06-01 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1689966756 | Gerald Keith Hoffman | Psychiatry & Neurology | 5906 Elaine Drive, Rockford, IL 61108-2467 | 2011-05-09 |
| 1366641714 | Khatija Mohammad Vaid | Psychiatry & Neurology | 4960 E State St, Rockford, IL 61108-2268 | 2007-07-16 |
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1730257056 | Zaffar A Rizvi | Psychiatry & Neurology | 6078 Palo Verde Drive, Rockford, IL 61114 | 2006-12-04 |
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| 1962502781 | Anthony Bartholomew D'souza | Psychiatry & Neurology | 6072 Brynwood Dr Ste 205, Rockford, IL 61114-5829 | 2006-09-22 |
| 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.