DOUGLAS DRAKE (NPI# 1093051484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093051484 |
| Entity Type | Individual |
| Full Name | DOUGLAS DRAKE |
| Practice Address |
5910 E State St Rockford IL 61108-2430 |
| Practice Telephone | 8153974327 |
| Practice Fax Number | 8153974341 |
| Mailing Telephone | 8153974327 |
| Mailing Fax Number | 8153974341 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2497 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770817348 | Douglas A. Drake | Physician Assistant | 370 E Virginia Ave, Phoenix, AZ 85004-1214 | 2009-09-29 |
| 1356499255 | Douglas A Drake | Physician Assistant | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1063425494 | Douglas Albert Drake | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-08-15 |
| Street Address |
5910 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295071645 | Chris Pro | Hearing Instrument Specialist | 5910 E State St, Rockford, IL 61108-2430 | 2012-12-12 |
| 1639415037 | Anthony Pro | Hearing Instrument Specialist | 5910 E State St, Rockford, IL 61108-2430 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592551 | Jane Ellen White | Hearing Instrument Specialist | 4635 14 Mile Rd Ne Ste A, Rockford, MI 49341-7310 | 2019-11-13 |
| 1417436304 | Hammer & Anvil, Inc. | Hearing Instrument Specialist | 1656 N Alpine Rd, Rockford, IL 61107-1436 | 2018-08-10 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| 1295071645 | Chris Pro | Hearing Instrument Specialist | 5910 E State St, Rockford, IL 61108-2430 | 2012-12-12 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1215089073 | Timothy F Conley | Hearing Instrument Specialist | 1090 W Riverside Blvd, North Towne Mall, Rockford, IL 61103-2195 | 2007-01-18 |
| 1699308395 | Adam Palmquist | Hearing Instrument Specialist | 1656 N Alpine Rd, Rockford, IL 61107-1436 | 2020-02-20 |
| 1396200929 | Ernesto Marin | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1680 | 2019-02-07 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1801133053 | Richard Radostits | Hearing Instrument Specialist | 1415 E State St, Rockford, IL 61104-2333 | 2013-01-08 |
| 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.