HOPEDALE MEDICAL FOUNDATION (NPI# 1801033071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801033071 |
| Entity Type | Organization |
| Organization Name | HOPEDALE MEDICAL FOUNDATION |
| Practice Address |
107 Tremont St Hopedale IL 61747-7525 |
| Practice Telephone | 3094493321 |
| Mailing Telephone | 3094493321 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | DR. ALFRED NELLO ROSSI (CEO) |
| Authorized Official Telephone | 3094494338 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275616740 | Hopedale Medical Foundation | Durable Medical Equipment & Medical Supplies | 107 Tremont St., Hopedale, IL 61747-0267 | 2006-10-20 |
| 1174569438 | Hopedale Medical Foundation | General Acute Care Hospital | 107 Tremont, Hopedale, IL 61747-0267 | 2006-06-22 |
| 1598926347 | Hopedale Medical Foundation | Skilled Nursing Facility | 107 Tremont St, Hopedale, IL 61747-7525 | 2008-06-24 |
| 1194857490 | Hopedale Medical Foundation | Medicare Defined Swing Bed Unit | 107 Tremont, Hopedale, IL 61747-0267 | 2007-03-12 |
| 1992837298 | Hopedale Medical Foundation | General Acute Care Hospital | 107 Tremont, Hopedale, IL 61747-0267 | 2007-03-12 |
| 1801928106 | Hopedale Medical Foundation | Durable Medical Equipment & Medical Supplies | 107 Tremont, Hopedale, IL 61747-0267 | 2007-03-12 |
| Street Address |
107 TREMONT ST |
| City | HOPEDALE |
| State | IL |
| Zip Code | 61747-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093980 | James William Sunday | Optometrist | 107 Tremont St, Hopedale, IL 61747-7525 | 2005-06-16 |
| 1033627229 | Jennifer Ruth Hubert | Dietitian, Registered | 107 Tremont St, Hopedale, IL 61747-7525 | 2018-01-22 |
| 1558873380 | Josh Blaum | Specialist/Technologist | 107 Tremont St, Hopedale, IL 61747-7525 | 2017-11-02 |
| 1952842361 | Maddox Landon Reed | Specialist/Technologist | 107 Tremont St, Hopedale, IL 61747-7525 | 2017-03-17 |
| 1700252475 | Benjamin Frietsch | Pharmacist | 107 Tremont St, Hopedale, IL 61747 | 2015-08-18 |
| 1235523267 | Janelle Marie Medernach | Dietitian, Registered | 107 Tremont St, Hopedale, IL 61747-7525 | 2015-03-27 |
| 1679829709 | Joanna Kate Mingus | Physical Therapist | 107 Tremont St, Hopedale, IL 61747-7525 | 2012-07-26 |
| 1255695326 | Shawn L Whitaker | Physical Therapy Assistant | 107 Tremont St, Hopedale, IL 61747-7525 | 2012-07-03 |
| 1073877361 | Jennifer Lee Salmon | Physical Therapy Assistant | 107 Tremont St, Hopedale, IL 61747-7525 | 2012-07-02 |
| 1578827945 | Linda Schafrik | Physical Therapy Assistant | 107 Tremont St, Hopedale, IL 61747-7525 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613321 | Sunday Eye Care LLC | Optometrist | Medical Arts Physicians Building, 107 Tremont Street, Hopedale, IL 61747 | 2007-05-31 |
| 1316083850 | Industrial Rehabilitation Consultants | Legal Medicine | 128 Madison Street, Hopedale, IL 61747 | 2007-01-30 |
| 1376639294 | Mary G. Merdian-bender | Dietitian, Registered | 107 Tremont Street, Hopedale, IL 61747 | 2006-10-05 |
| 1629046024 | Emily Jo Whitson | Specialist/Technologist | 222 Nw Grove Street, Hopedale Medical Complex, Hopedale, IL 61747 | 2006-03-10 |
| 1760684161 | Witold Rybicki | Anesthesiology | 107 Tremont, Hopedale Medical Complex, Hopedale, IL 61747 | 2007-06-05 |
| 1134253404 | Karen J Nordstrom-hutchison | Dentist | 107 Tremont St., Hopedale Medical Complex, Hopedale, IL 61747 | 2007-03-16 |
| 1306977699 | Hopedale Pharmacy | Pharmacy | 107 Tremont St., Hopedale, IL 61747 | 2007-03-08 |
| 1275616740 | Hopedale Medical Foundation | Durable Medical Equipment & Medical Supplies | 107 Tremont St., Hopedale, IL 61747-0267 | 2006-10-20 |
| 1174569438 | Hopedale Medical Foundation | General Acute Care Hospital | 107 Tremont, Hopedale, IL 61747-0267 | 2006-06-22 |
| 1194857490 | Hopedale Medical Foundation | Medicare Defined Swing Bed Unit | 107 Tremont, Hopedale, IL 61747-0267 | 2007-03-12 |
| Find all providers in zip 61747 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
| 1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
| 1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
| 1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
| 1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
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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.