DR. MARY WHITE PC (NPI# 1174724520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174724520 |
| Entity Type | Organization |
| Organization Name | DR. MARY WHITE PC |
| Practice Address |
6451 E Riverside Blvd Ste 104 Rockford IL 61114-4421 |
| Practice Telephone | 8152824000 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2009-07-23 |
| Authorized Official Name | MARY WHITE (OWNER) |
| Authorized Official Telephone | 8152824000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004011 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | DO9332 | 01 |
| Street Address |
6451 E RIVERSIDE BLVD STE 104 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555928 | Todd Richard Cevene | Chiropractor | 6451 E Riverside Blvd, # 103, Rockford, IL 61114-4421 | 2005-08-15 |
| 1922478981 | Heit Health and Wellness Center Inc | Physical Medicine & Rehabilitation | 6451 E Riverside Blvd, 103, Rockford, IL 61114-4421 | 2015-10-03 |
| 1174885107 | Rockford Pain Management Ltd | General Practice | 6451 E Riverside Blvd, Suite 101, Rockford, IL 61114-4421 | 2012-06-14 |
| 1366638751 | Midwest Surgical Care Center, Ltd | Clinic/Center | 6451 E Riverside Blvd, Suite 103a, Rockford, IL 61114-4421 | 2007-09-19 |
| 1568580843 | Cevene Care Clinic, Inc | Social Worker | 6451 E Riverside Blvd, #103, Rockford, IL 61114-4421 | 2007-03-26 |
| 1649293952 | Mary C White | Podiatrist | 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114-4421 | 2006-07-26 |
| 1821026147 | Joe O'saben | Neuromusculoskeletal Medicine & OMM | 6451 E Riverside Blvd, Suite 103, Rockford, IL 61114-4421 | 2006-06-28 |
| 1922093467 | Jason Croxford | Chiropractor | 6451 E Riverside Blvd, Rockford, IL 61114-4421 | 2005-09-12 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265895239 | Richard Bell | Podiatrist | 6055 Boxwood Dr, Rockford, IL 61114-6559 | 2016-03-29 |
| 1801025473 | Nathan Norem | Podiatrist | 2300 N Rockten Ave, Rockford, IL 61103-3619 | 2009-07-05 |
| 1508967621 | Matthew S. Keene | Podiatrist | 4777 East State Street, Suite 8, Rockford, IL 61108 | 2006-09-25 |
| 1497854053 | Philip W Seeber | Podiatrist | 3851 N Mulford, Rockford, IL 61114 | 2006-09-21 |
| 1215042965 | Paul A Galluzzo | Podiatrist | 6999 Redansa Drive, Rockford, IL 61108-1201 | 2006-08-21 |
| 1497731293 | Thomas A Runne | Podiatrist | 1437 S Bell School Rd Ste 2, Rockford, IL 61108-1405 | 2005-12-22 |
| 1316507890 | Ashley Ann Smith | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-06-18 |
| 1922668755 | Jacob Russell Randich | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2019-06-14 |
| 1184144727 | Donald C Bisby | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2017-06-25 |
| 1700239332 | Tiphani James | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2016-07-19 |
| 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.