Nicole A Hartsough (NPI# 1962400382, PAC ID# 2264472992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1962400382 |
PAC ID by PECOS | 2264472992 |
Professional Enrollment ID | I20050512000648 |
Full Name | Nicole A Hartsough |
Organization Legal Name | ROCKFORD HEALTH PHYSICIAN |
Address |
7402 E Riverside Blvd Loves Park IL 61111-5630 |
Phone Number | 8159712000 |
Gender | F |
Credential | MD |
Graduation Year | 1978 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 2567374036 |
Number of Group Practice Members | 407 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140239 | ROCKFORD MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
7402 E Riverside Blvd, Loves Park, IL 61111-5630 | 8159712000 | ROCKFORD HEALTH PHYSICIAN |
Organization Legal Name | ROCKFORD HEALTH PHYSICIAN |
Physicians | 381 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana Elsherif | Family Medicine | Rockford Health Physician | 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 |
Carl L Christie | Obstetrics/gynecology | Rockford Health Physician | 7180 Spring Brook Rd, Rockford, IL 61114-6700 |
Bishara D Baddour | Obstetrics/gynecology | Rockford Health Physician | 2780 Mcfarland Rd, Rockford, IL 61107-6807 |
Brian Michalsen | Family Medicine | Rockford Health Physician | 6998 Redansa Dr, Rockford, IL 61108-4378 |
Maha B Mikhail | Cardiovascular Disease (cardiology) | Rockford Health Physician | 2350 N Rockton Ave, Rockford, IL 61103-3600 |
Todd C Schirmang | Diagnostic Radiology | Rockford Health Physician | 130 Kysor Dr, Byron, IL 61010-9402 |
Ronald B Foran | Cardiovascular Disease (cardiology) | Rockford Health Physician | 5727 Strathmoor Dr, Rockford, IL 61107-5180 |
Perka Guenev | Family Medicine | Rockford Health Physician | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 |
Mark A Grevious | Plastic and Reconstructive Surgery | Rockford Health Physician | 8201 E Riverside Blvd, Rockford, IL 61114-2300 |
Bhernee A Paragas | Physical Therapy | Rockford Health Physician | 3401 N Perryville Rd, Rockford, IL 61114-8011 |
Street Address |
7402 E RIVERSIDE BLVD |
City | LOVES PARK |
State | IL |
Zip | 61111-5630 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela J Pearson | Nurse Practitioner | Rockford Health Physician | 7402 E Riverside Blvd, Loves Park, IL 61111-5630 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Michael D Kouimelis | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Brandon N Nierhoff | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Syed M Mohiuddin | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Muhammad Adnan Habib | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Jessica Knoll | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Jody M Ideran | Clinical Social Worker | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Erica S Cook | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Noah J Simon | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Taariq A Khan | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
Find all physicians in zip 61111 |
City | LOVES PARK |
Zip Code | 61111 |
Specialty | DERMATOLOGY |
City + Specialty | LOVES PARK + DERMATOLOGY |
Please comment or provide details below to improve the information on Nicole A Hartsough.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.