DR. GARY D RIFKIN (NPI# 1245239284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245239284 |
Entity Type | Individual |
Full Name | DR. GARY D RIFKIN |
Credential | M.D. |
Practice Address |
129 Phelps Ave Suite 508 Rockford IL 61108-2453 |
Practice Telephone | 8152292300 |
Practice Fax Number | 8152293909 |
Mailing Telephone | 8152292300 |
Mailing Fax Number | 8152293909 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2007-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | IL | Other Service Providers |
Street Address |
129 PHELPS AVE SUITE 508 |
City | ROCKFORD |
State | IL |
Zip Code | 61108-2453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760931356 | Kathleen Marie O'dierno | Social Worker | 129 Phelps Ave, Building 8, Suite 825, Rockford, IL 61108-2453 | 2016-09-24 |
1235506486 | Milos Dental Care | Dentist | 129 Phelps Ave, Suite 307, Rockford, IL 61108-2453 | 2015-08-24 |
1245616929 | Virtual Cardiology, LLC | Internal Medicine | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-08-05 |
1619368834 | Portable Medical Resources Ltd | Radiologic Technologist | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-02-10 |
1861836835 | Camelot Imaging Solutions, Ltd | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 129 Phelps Ave, Suite 213, Rockford, IL 61108-2453 | 2013-04-22 |
1104190503 | Patrick B. Whitaker, D.c., P.C. | Chiropractor | 129 Phelps Ave, Suite 316, Rockford, IL 61108-2453 | 2012-03-02 |
1396071932 | Andrea L Reynolds | Massage Therapist | 129 Phelps Ave, Rockford, IL 61108-2453 | 2009-11-01 |
1225153273 | Bonnie Blakeley | Counselor | 129 Phelps Ave, Suite 204, Rockford, IL 61108-2453 | 2007-03-20 |
1598889537 | Sadie Foster | Counselor | 129 Phelps Ave, Suite 910, Rockford, IL 61108-2453 | 2007-03-16 |
1649337783 | Sandra Lynn Williams | Social Worker | 129 Phelps Ave, Suite 907, Rockford, IL 61108-2453 | 2007-01-01 |
Find all providers in the same location |
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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053615054 | Lisa Diane Kehoe | Specialist | 1745 Williamsburg Rd, Rockford, IL 61107-2445 | 2011-01-05 |
1134445489 | Sanford Bruce Mer | Specialist | 3008 Spring Creek Rd, Rockford, IL 61107-1061 | 2010-04-12 |
1225351935 | Rhiannon Marie Deyoung | Specialist | 8450 Algoma Ave Ne Ste Aaa, Rockford, MI 49341-7508 | 2010-03-09 |
1689900169 | Jacqueline Michele Sharp | Specialist | 2204 Arthur Ave, Rockford, IL 61101-5224 | 2009-10-19 |
1184869893 | Joseph Gerard Lynch | Specialist | 8081 Ravenrock Rd, Rockford, MN 55373-9394 | 2008-12-09 |
1548438344 | Helen Wiedemer Laib | Specialist | 4804 Innsbruck Dr, Rockford, IL 61114-7312 | 2008-02-14 |
1962609859 | Sandra Rebecca Hallman | Specialist | 6017 Abington Dr, Rockford, IL 61109-2757 | 2007-07-02 |
1558481366 | Mark Theodore Peterson | Specialist | 5712 Newburg Rd, Rockford, IL 61108-6707 | 2007-03-29 |
1801913769 | Megan D Lindley | Specialist | 610 Vale Ave, Rockford, IL 61107-4656 | 2007-03-24 |
1841335072 | Ob-gyn Associates (rockford) Ltd. | Specialist | 1016 Featherstone Road, Rockford Ambulatory Surgery Center, Rockford, IL 61107 | 2007-02-21 |
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.