LAWRENCE EDWARD BUCKMAN III (NPI# 1093938359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093938359 |
| Entity Type | Individual |
| Full Name | LAWRENCE EDWARD BUCKMAN III |
| Credential | C PED. |
| Practice Address |
5823 E Riverside Blvd Rockford IL 61114-4963 |
| Practice Telephone | 8156541900 |
| Practice Fax Number | 8152829567 |
| Mailing Telephone | 8156541900 |
| Mailing Fax Number | 8152829567 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| Street Address |
5823 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063680064 | Nissi Corp | Durable Medical Equipment & Medical Supplies | 5823 E Riverside Blvd, Rockford, IL 61114-4963 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760952493 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5503 E State, Rockford, IL 61108-2338 | 2018-11-26 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| 1861851438 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 W State St Ste 102, Rockford, IL 61102-2112 | 2016-02-11 |
| 1205223070 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2013 Mcfarland Road, Rockford, IL 61107-6835 | 2015-04-20 |
| 1548671464 | Onward Dme LLC | Durable Medical Equipment & Medical Supplies | 5301 E State St Ste 108, Rockford, IL 61108-2388 | 2014-05-13 |
| 1124367222 | Dewayne M Tentler | Durable Medical Equipment & Medical Supplies | 115 7th St Ste 207, Rockford, IL 61104-1224 | 2013-02-08 |
| 1376785667 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2404 S Perryville Rd, Rockford, IL 61108-8231 | 2009-04-01 |
| 1770733271 | Cpap Connect LLC | Durable Medical Equipment & Medical Supplies | 4773 Manhattan Dr, Rockford, IL 61108-2264 | 2008-09-22 |
| 1588830533 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4382 14 Mile Rd Ne, Rockford, MI 49341-7838 | 2008-04-30 |
| 1043337660 | Rockford Orthopedic Appliance Co | Durable Medical Equipment & Medical Supplies | 422 E State St, Rockford, IL 61104-1015 | 2007-03-26 |
| 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.