DR. BRUCE A JASPER (NPI# 1073511309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073511309 |
| Entity Type | Individual |
| Full Name | DR. BRUCE A JASPER |
| Credential | M.D. |
| Practice Address |
6861 Villagreen Vw Rockford IL 61107-5639 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 8156376200 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-064222 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064222 | 05 | |
| WI | WISCONSIN MEDICAID | 30492800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710177357 | Bruce W Jasper | Clinical Neuropsychologist | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2007-07-30 |
| Street Address |
6861 VILLAGREEN VW |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785793 | Rachel Lee Danks | Nurse Practitioner | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2018-10-09 |
| 1497049084 | Swedishamerican Hospital | Pediatrics | 6861 Villagreen Vw, Rockford, IL 61107 | 2011-06-01 |
| 1578877924 | Meredith Brawley | Obstetrics & Gynecology | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2010-07-27 |
| 1699866681 | Rock Valley Women's Health Center, LLC | Specialist | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2006-09-27 |
| 1497753511 | Sudha P Shah | Obstetrics & Gynecology | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2005-07-12 |
| 1538167895 | C David Stephenson | Obstetrics & Gynecology | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2005-07-11 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1831174127 | Jovenel Dubois | Obstetrics & Gynecology | 2780 Mcfarland Rd, University Women & Children's Health Center, Rockford, IL 61107-6807 | 2005-12-09 |
| 1780682393 | Timothy J Durkee | Obstetrics & Gynecology | 3505 North Bell School Road, Rockford, IL 61114 | 2005-07-08 |
| 1932745825 | Swedishamerican Hospital | Obstetrics & Gynecology | 2909 N Main St, Rockford, IL 61103-3100 | 2019-11-26 |
| 1922570035 | Swedishamerican Hospital | Obstetrics & Gynecology | 815 Marchesano Dr, Rockford, IL 61102-3521 | 2018-12-31 |
| 1124467253 | Bakytbubu Arynova | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2013-06-21 |
| 1821353889 | Bryan Taylor | Obstetrics & Gynecology | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2012-07-05 |
| 1376807867 | Vernee Pia Edwards | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2012-06-28 |
| 1790076693 | Candace Marie Gates | Obstetrics & Gynecology | 209 9th St, Rockford, IL 61104 | 2011-04-26 |
| 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.