DR. MARIAN M TRIPP (NPI# 1316334287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316334287 |
| Entity Type | Individual |
| Full Name | DR. MARIAN M TRIPP |
| Credential | MD |
| Practice Address |
8201 E Riverside Blvd Rockford IL 61114-2300 |
| Practice Telephone | 8159714066 |
| Practice Fax Number | 8159719299 |
| Mailing Telephone | 8159714066 |
| Mailing Fax Number | 8159719299 |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036147046 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036147046 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 125067058 | 05 | |
| WI | 1316334287 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 N Rockton Ave, Rockford, IL 611033655 | 8159714066 | 8159719299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366917023 | Marian Lynn Tripp | Behavior Technician | 5601 Arnold Rd Fl 102, Dublin, CA 94568-7726 | 2018-10-09 |
| Street Address |
8201 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865718 | Shobashalini Chokkalingam | Internal Medicine | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2005-07-19 |
| 1578190054 | Hyojin Jeon | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2020-03-25 |
| 1043850068 | Lauren E Bell | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2020-01-07 |
| 1346898210 | Casandra Kay Pihl | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-09-03 |
| 1376196196 | Taha Mohamed Djirdeh | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-21 |
| 1982256426 | Katrina Nicole Weir | Speech-Language Pathologist | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-15 |
| 1447802525 | Amit Johal | Student in an Organized Health Care Education/Training Program | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-07-10 |
| 1861055899 | Meghan Creath | Speech-Language Pathologist | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-04-16 |
| 1396207346 | Assem Miari | Physician Assistant | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-04-01 |
| 1043778772 | Rhonda J Gale | Nurse Practitioner | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2019-03-12 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910350 | Charity L Soles | Family Medicine | 4134 Ashwinton Way, Rockford, IL 61109-3273 | 2020-04-14 |
| 1306250543 | Camille Ryan | Family Medicine | 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 | 2014-06-16 |
| 1396991485 | Novella Ann Schafer | Family Medicine | 3719 Regal Ridge Circle, Rockford, IL 61114-6037 | 2008-08-08 |
| 1417139130 | Derek Lanier | Family Medicine | 8450 Brower Lake Rd Ne, Apt/suite, Rockford, MI 49341-9346 | 2007-12-04 |
| 1144414921 | Moses Godofredo Tomacruz | Family Medicine | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2007-09-05 |
| 1508077165 | Robert Dejonge Do PC | Family Medicine | 350 Northland Dr Ne, Rockford, MI 49341-1401 | 2007-05-25 |
| 1902018641 | Julie Stark | Family Medicine | 3475 So Alpine Rd, Physicians Immediate Care, Rockford, IL 61109-2604 | 2007-05-04 |
| 1205976024 | Mohammed Khaleeluddin | Family Medicine | 1729 Oak Park Drive, Rockford, IL 61107-5510 | 2007-02-08 |
| 1134273238 | Swedishamerican Hosptial | Family Medicine | 3906 N Main St, Suite A, Rockford, IL 61103-1679 | 2007-01-23 |
| 1194897223 | Niccole Ranz | Family Medicine | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2006-11-14 |
| 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.