JUDE PEREZ (NPI# 1194755587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194755587 |
| Entity Type | Individual |
| Full Name | JUDE PEREZ |
| Credential | M.D. |
| Practice Address |
5875 E Riverside Blvd Rockford IL 61114-4937 |
| Practice Telephone | 1583817431 |
| Mailing Telephone | 1583817431 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036107605 | IL | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036107605 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36107605 | 05 |
| Street Address |
5875 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126451 | Zeeshan Ahmad | Physical Medicine & Rehabilitation | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2005-07-01 |
| 1609415454 | Nicholas P Mckeown | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-26 |
| 1922646942 | Tori L Homb | Nurse Practitioner | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-20 |
| 1285296459 | Arron Dennis Buck | Physical Therapist | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-07-08 |
| 1740840404 | Midwest Integrated Surgeons, Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1659931319 | Spine Surgeons Integrated Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1255818894 | Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia | Anesthesiology | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2018-07-26 |
| 1568908283 | Robert S. Meyers | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2017-01-19 |
| 1427591726 | Raquel Ramirez | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-11-18 |
| 1104374503 | Amanda S. Pumilia | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-09-14 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518128255 | Virginia Ann Stoll-tyrrell | Emergency Medicine | 1401 East State Street, Rockford, IL 61104-2315 | 2008-06-24 |
| 1871621144 | Robert Charles Porter | Emergency Medicine | 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 | 2007-03-01 |
| 1205890605 | Daniel B Cunningham | Emergency Medicine | 4685 Belding Rd Ne, Rockford, MI 49341-9605 | 2006-04-13 |
| 1043280811 | Christopher M. Nielsen | Emergency Medicine | 5666 East State Street, Rockford, IL 61108-2425 | 2006-01-25 |
| 1326037029 | Pervaz M. Choudry | Emergency Medicine | 5266 Thornberry Dr, Rockford, IL 61114-6395 | 2005-10-17 |
| 1184232621 | Sound Physicians Emergency Medicine of Illinois LLC | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-07-21 |
| 1538790266 | Sherri L Paprocki | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-01-31 |
| 1891223285 | Kathryn R Johns | Emergency Medicine | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2017-05-30 |
| 1639602543 | Muhammad Muaz Shareef | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2017-04-07 |
| 1710341987 | Sonia Khan | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2016-04-13 |
| 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.