RUSH-COPLEY MEDICAL GROUP (NPI# 1982974689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982974689 |
| Entity Type | Organization |
| Organization Name | RUSH-COPLEY MEDICAL GROUP |
| Practice Address |
2040 Ogden Ave Suite 215 Aurora IL 60504-7206 |
| Mailing Address |
1256 Waterford Dr Ste 230 Aurora IL 60504-4511 |
| Practice Telephone | 6303752844 |
| Practice Fax Number | 6303752808 |
| Mailing Telephone | 6304992404 |
| Mailing Fax Number | 6306925518 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | MARCEE A BRUMMEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6309784915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036128969 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036128969 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036128969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1093815482 | Rush-copley Medical Group | Internal Medicine | 1100 Veterans Pkwy, Suite 300, Yorkville, IL 60560 | 2006-09-25 |
| 1841579893 | Rush-copley Medical Group | Internal Medicine | 1100 W Veterans Pkwy, Suite 200, Yorkville, IL 60560-4728 | 2011-08-09 |
| 1477831220 | Rush-copley Medical Group | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2011-07-28 |
| 1659666907 | Rush-copley Medical Group | Specialist | 2088 Ogden Ave, Suite 270, Aurora, IL 60504-4376 | 2011-06-15 |
| 1679745293 | Rush-copley Medical Group | Neurological Surgery | 2040 Ogden Ave, Ste 30, Aurora, IL 60504-7222 | 2008-03-25 |
| 1629265764 | Rush-copley Medical Group | Family Medicine | 4789 Route 71, Oswego, IL 60543 | 2007-10-03 |
| 1003019548 | Rush-copley Medical Group | Internal Medicine | 2040 Ogden Ave, Ste 217, Aurora, IL 60504-7206 | 2007-06-11 |
| 1528105723 | Rush-copley Medical Group | Allergy & Immunology | 1100 Veterans Pkwy, Suite 310, Yorkville, IL 60560-1366 | 2007-01-30 |
| 1750482089 | Rush-copley Medical Group | Family Medicine | 2020 Ogden Avenue, Suite 120, Aurora, IL 60504 | 2006-09-26 |
| Street Address |
2040 OGDEN AVE SUITE 215 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387328 | Teressa Alexander | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 201, Aurora, IL 60504-7222 | 2005-09-21 |
| 1386156917 | Kelly Ryan | Nurse Practitioner | 2040 Ogden Ave, Aurora, IL 60504-7206 | 2017-11-05 |
| 1780058776 | Dreyer Clinic, Inc | Clinic/Center | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2015-11-14 |
| 1942696224 | Rebecca Wilson | Nurse Practitioner | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2015-04-13 |
| 1366729378 | Megan Nellie Muscia | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2011-11-04 |
| 1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
| 1730474198 | Lauren Franker | Nurse Practitioner | 2040 Ogden Ave, Suite 300, Aurora, IL 60504-7206 | 2011-06-14 |
| 1669767174 | Colleen Elizabeth Skay | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2011-06-13 |
| 1700118874 | Melissa M New | Nurse Practitioner | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2010-02-01 |
| 1376776831 | Amber Wilson | Physician Assistant | 2040 Ogden Ave, Suite 300, Aurora, IL 60504 | 2009-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316426026 | University Physicians Incorporated | Pediatrics | 13123 E 16th Ave Fl 1, Aurora, CO 80045-7106 | 2018-08-13 |
| 1811492978 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1420 Laredo St, Aurora, CO 80011-5808 | 2018-03-29 |
| 1407387418 | Laura Ann Wang | Pediatrics | 13123 E 16th Ave # B518, Aurora, CO 80045-7106 | 2017-03-22 |
| 1467815696 | Annemarie Wolfe | Pediatrics | 13123 E 16th Ave # B-395, Aurora, CO 80045-7106 | 2016-04-04 |
| 1336536416 | Nicolle Fernandez Dyess | Pediatrics | 13121 E. 17th Ave, Neonatology Ms 8402, Aurora, CO 80045 | 2015-04-16 |
| 1952714354 | Sarah Rachel Green | Pediatrics | 13123 E 16th Ave # 25, Aurora, CO 80045-7106 | 2014-06-04 |
| 1063772929 | Eliza Davis Blanchette | Pediatrics | 13123 E 16th Ave # 328, Aurora, CO 80045-7106 | 2012-05-24 |
| 1205192903 | Olivia Lund Hoffman | Pediatrics | 13123 East 16th Avenue, Box 158, Aurora, CO 80045 | 2012-04-06 |
| 1134414964 | Abigail Suzanne Angulo | Pediatrics | 13123 E 16th Ave # 140, Aurora, CO 80045-7106 | 2011-06-09 |
| 1922397629 | Kathryn M Ginder | Pediatrics | 15101 E Iliff Ave Ste 140, Aurora, CO 80014-4548 | 2011-04-04 |
| Find all providers in AURORA | ||||
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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.