GEOFFREY S. VAN THIEL (NPI# 1316103971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316103971 |
| Entity Type | Individual |
| Full Name | GEOFFREY S. VAN THIEL |
| Credential | MD |
| Practice Address |
324 Roxbury Rd Rockford IL 61107-5090 |
| Mailing Address |
Box 78534 Milwaukee WI 53278 |
| Practice Telephone | 8153989491 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153989491 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036128546 | IL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036128546 | IL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
125-052058 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036128546 | 05 |
| Street Address |
324 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036973 | Alicia A Heuser | Physician Assistant | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2005-07-07 |
| 1578180105 | Anna R Gibbons | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-30 |
| 1730705732 | Krista L Carlson | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-25 |
| 1821613274 | Erin B Thomas | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-11 |
| 1053948521 | Micah Lynn Ann Clutter | Specialist/Technologist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-03-25 |
| 1881232817 | Eleni Polites | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-12-20 |
| 1316507890 | Ashley Ann Smith | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-06-18 |
| 1093371197 | Christine M Piasecki | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1831755024 | Suzanne Workman | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1861058950 | Paige A Lyford | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932207578 | Stephen F Weiss | Orthopaedic Surgery | 419 N Mulford Rd, Suite #3, Rockford, IL 61107-5197 | 2006-09-20 |
| 1477553659 | Mark E Hastings | Orthopaedic Surgery | 5668 E State St, Suite 400, Rockford, IL 61108-2490 | 2005-07-28 |
| 1801899935 | Dean T Fochios | Orthopaedic Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2005-05-23 |
| 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 |
| 1679851984 | Mathew Tod Legel | Orthopaedic Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-08-03 |
| 1609026921 | Swedishamerican Hospital | Orthopaedic Surgery | 324 Roxbury Rd, Rockford, IL 61107 | 2008-09-23 |
| 1528214160 | James Leitze Green | Orthopaedic Surgery | 1340 Charles St, Ste 400, Rockford, IL 61104-2200 | 2008-08-14 |
| 1144476995 | Brian Robert Braaksma | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2008-08-12 |
| 1619133139 | Brian J. Foster | Orthopaedic Surgery | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2008-08-04 |
| 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.