DR. JOSHUA A BLOMGREN (NPI# 1194981019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194981019 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA A BLOMGREN |
| Credential | D.O. |
| Practice Address |
25 N Winfield Road Winfield IL 60190-1295 |
| Mailing Address |
1 Westbrook Corporate Ctr Suite 240 Westchester IL 60154-5701 |
| Practice Telephone | 6306825653 |
| Mailing Telephone | 7082362673 |
| Mailing Fax Number | 7084925673 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2012-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036-122632 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036-122632 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036122632 1 | 05 | |
| IL | AETNA | 9084591 | 01 |
| IL | RR MEDICARE | P01010062 | 01 |
| IL | BCBS | 1633878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922381938 | Joshua A Blomgren | Pharmacist | 20 Elliot St, Brattleboro, VT 05301-3216 | 2011-09-26 |
| Street Address |
25 N WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514360 | Thomas A. Eiseman | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2005-08-09 |
| 1750813580 | Ingrid Kanady | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190-1295 | 2017-03-30 |
| 1447647201 | Sarah Liljeberg | Nurse Practitioner | 25 N Winfield Road, Ste 420, Winfield, IL 60190-1295 | 2015-04-20 |
| 1174878896 | Kristin Lynn Rosenberger | Physical Therapist | 25 N Winfield Road, Winfield, IL 60190-1295 | 2012-07-18 |
| 1831463975 | Central Dupage Hospital | General Acute Care Hospital | 25 N Winfield Road, Winfield, IL 60190 | 2012-03-07 |
| 1841587599 | Brian Christopher Fort | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2011-07-01 |
| 1174821201 | Andrea Fuller | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190 | 2011-03-15 |
| 1790017085 | Lee Michael De Dore | Physician Assistant | 25 N Winfield Road, Suite 505, Winfield, IL 60190 | 2010-02-11 |
| 1871823971 | Jennifer Aileen Chiaramonte | Speech-Language Pathologist | 25 N Winfield Road, Winfield, IL 60190 | 2010-01-12 |
| 1679735104 | Jeffrey Michael Ksiazek | Otolaryngology | 25 N Winfield Road, #519, Winfield, IL 60190 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
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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.