DR. BURTON EMERSON MOORE (NPI# 1063540540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063540540 |
| Entity Type | Individual |
| Full Name | DR. BURTON EMERSON MOORE |
| Practice Address |
2222 E State St Room 108 Rockford IL 61104-1573 |
| Practice Telephone | 8159627922 |
| Mailing Telephone | 8159627922 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497798698 | Burton Allan Moore | Dermatology | 500 South University Ave, Suite 301, Little Rock, AR 72205 | 2006-06-14 |
| Street Address |
2222 E STATE ST ROOM 108 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194897223 | Niccole Ranz | Family Medicine | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2006-11-14 |
| 1639542657 | Molly Engelkes | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-11-12 |
| 1700261781 | Joani Sue Browning | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-07-20 |
| 1093109043 | Dauphne Sims | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-03-26 |
| 1821494568 | Kathleen E Wodrich | Nurse Practitioner | 2222 E State St, Ste 209, Rockford, IL 61104-1573 | 2014-11-07 |
| 1548663909 | Juliette A Strombeck | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-09-30 |
| 1881097244 | Purvi S Patel | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-09-30 |
| 1396166799 | Angela Mclain | Licensed Practical Nurse | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-01-02 |
| 1114358264 | Lauran E Wendt | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-11-27 |
| 1114362753 | Rachael Reinagle | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| 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 |
|---|---|---|---|---|
| 1114470945 | Swedishamerican Hospital | Pediatrics | 461 N Mulford Rd Ste 4, Rockford, IL 61107-5165 | 2016-07-28 |
| 1720236680 | Kim Le Alt | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2008-09-04 |
| 1942310131 | William D. Hutt | Pediatrics | 5970 Churchview Dr, Rockford, IL 61107-2574 | 2006-08-30 |
| 1740290600 | Antonio R Baluga | Pediatrics | 6905 E State Street, Rockford, IL 61108 | 2006-08-09 |
| 1912911785 | Ignacio U Omengan | Pediatrics | 461 N Mulford Rd #10, Rockford, IL 61107 | 2006-07-28 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1962451732 | Swedishamerican Hospital | Pediatrics | 2550 Charles St, Rockford, IL 61108 | 2006-05-09 |
| 1518947258 | Beezer Moolji | Pediatrics | 2400 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 | 2006-01-19 |
| 1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
| 1508306093 | Rockford Pediatrics, PC | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2017-03-02 |
| Find all providers in ROCKFORD | ||||
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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.