KIMBERLY REMEDIOS-SMITH (NPI# 1013323096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013323096 |
Entity Type | Individual |
Full Name | KIMBERLY REMEDIOS-SMITH |
Credential | M.D. |
Practice Address |
2400 N Rockton Ave Rockford IL 61103-3655 |
Mailing Address |
4940 Eastern Ave Aa2-nicu; 2nd Fl 299d Baltimore MD 21224-2735 |
Practice Telephone | 8159715000 |
Practice Fax Number | 8159685742 |
Mailing Telephone | 4105502461 |
Mailing Fax Number | 4105501163 |
Enumeration Date | 2014-07-10 |
Last Update Date | 2016-12-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D0078130 | MD | Allopathic & Osteopathic Physicians |
Street Address |
2400 N ROCKTON AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61103-3655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
1053950055 | Tina Longphee | Registered Nurse | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-12-23 |
1598227407 | Shahid Mohammad | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-04-01 |
1265993109 | Sarah Elaine Robertson | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-25 |
1770042525 | Vinita Patel | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-19 |
1255890646 | Gilda Djabarzade | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-15 |
1285103002 | Amy Lask | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-11-21 |
1477038743 | Michelle Harris | Advanced Practice Midwife | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-10-02 |
1134603095 | Sarah R Linder | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-09-17 |
1376022350 | Atiq Urrehman Khan | Psychiatry & Neurology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
Find all providers in zip 61103 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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/certification - 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 |
---|---|---|---|---|
1043767841 | Gail Sharon Haiken | Pediatrics | 5303 Regents Park Rd, Rockford, IL 61107-5092 | 2016-09-08 |
1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
1295990125 | Frank Hernandez | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3619 | 2008-07-21 |
1811070923 | Hussien M Farrag | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2006-10-23 |
1154431336 | Nancy Bauer | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
1043320237 | Jose L. Gonzalez | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
1538279724 | Khalid A. Siddiqui | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2006-08-30 |
1497865687 | Gillian M. Headley | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
1124138318 | Patricia I. Ittmann | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
1740390939 | Pablo Morales | Pediatrics | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-30 |
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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.