ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. (NPI# 1871536763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871536763 |
| Entity Type | Organization |
| Organization Name | ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. |
| Other Organization Name | ROCKFORD ENDOSCOPY CENTER |
| Practice Address |
401 Roxbury Rd Rockford IL 61107-5075 |
| Practice Telephone | 8153977340 |
| Practice Fax Number | 8153977388 |
| Mailing Telephone | 8153977340 |
| Mailing Fax Number | 8153977388 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-04-27 |
| Authorized Official Name | NANCY GARRY (ADMINSTRATOR) |
| Authorized Official Telephone | 8153977340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rockford Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
401 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821089 | Brad Alan Bowyer | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2005-09-16 |
| 1487197356 | Marjorie Hotopp | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2016-11-28 |
| 1689000424 | Corrie Elizabeth Scott | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-09-25 |
| 1912330895 | Stacia Langan Sackmaster | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-08-15 |
| 1538406053 | Jennifer A Ward | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-01-04 |
| 1730426230 | Janelle D Defilippis | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-01-04 |
| 1417209768 | Brenda L Garrett | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2012-10-11 |
| 1710140041 | George Chahine Tannous | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-07-07 |
| 1154597284 | Sumeet K. Tewani | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-05-08 |
| 1588834519 | Ilche Teodore Nonevski | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-03-05 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356412894 | Rockford Orthopedic Surgery Center, LLC | Clinic/Center | 346 Roxbury Rd, Rockford, IL 61107-5090 | 2006-11-13 |
| 1265486849 | Featherstone Partnership Lp | Clinic/Center | 1016 Featherstone Rd, Rockford, IL 61107-5902 | 2006-05-19 |
| 1154942357 | Tps Facility LLC | Clinic/Center | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2020-04-29 |
| 1487012761 | Rand Medical Services LLC | Clinic/Center | 6030 Garrett Ln, Rockford, IL 61107-6637 | 2016-02-02 |
| 1366638751 | Midwest Surgical Care Center, Ltd | Clinic/Center | 6451 E Riverside Blvd, Suite 103a, Rockford, IL 61114-4421 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
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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.