DR. HEATHER ANNE HALL (NPI# 1346468105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346468105 |
Entity Type | Individual |
Full Name | DR. HEATHER ANNE HALL |
Credential | M.D. |
Practice Address |
2350 N Rockton Ave Rockford IL 61103-3600 |
Practice Telephone | 8159712248 |
Practice Fax Number | 8159719097 |
Mailing Telephone | (815) 971-2248 |
Mailing Fax Number | 8159719097 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2017-09-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036.123091 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265090682 | Heather Hall | Pharmacist | 207 E Mcpherson Ave, Nashville, GA 31639-2249 | 2019-05-31 |
1841772084 | Heather L Hall | Behavior Technician | 205 W Deming St, Roswell, NM 88203-5714 | 2018-09-04 |
1831699743 | Heather Hall | Behavior Technician | 1330 Oakridge Dr Unit 105, Fort Collins, CO 80525-9651 | 2018-02-16 |
1538697040 | Heather D Hall | Behavior Technician | 1219 N 17th Ave Apt W, Hollywood, FL 33020-3613 | 2017-05-28 |
1306215066 | Heather Hall | Occupational Therapy Assistant | 6301 N Canoe Creek Rd, Kenansville, FL 34739-9625 | 2015-09-23 |
1669752630 | Heather Hall | Occupational Therapy Assistant | 4413 8th Ave N, Great Falls, MT 59405-1160 | 2011-08-23 |
1639487978 | Heather Renee Hall | Registered Nurse | 5080 Langcroft Dr, Hilliard, OH 43026-7158 | 2010-09-21 |
1578737011 | Heather Ann Hall | Audiologist | 3000 Medical Park Dr Ste 200, Tampa, FL 33613 | 2008-04-16 |
1477752772 | Heather Jon Hall | Psychologist | 4650 W Sunset Blvd Ms#53, Los Angeles, CA 90027-6062 | 2007-07-16 |
1932326931 | Heather Hall | Occupational Therapist | 1130 Ruddell Dr, Kokomo, IN 46901-1938 | 2007-04-19 |
Street Address |
2350 N ROCKTON AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61103-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801899935 | Dean T Fochios | Orthopaedic Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2005-05-23 |
1518593342 | Leah Burns | Physician Assistant | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2020-03-12 |
1275185142 | Brenda Ann Beilfuss | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2019-07-11 |
1588135529 | Constance Faye Blaisdell | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2018-12-17 |
1982144762 | Lu Ann Ostrander | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2017-02-28 |
1821476359 | Hanna J Rakowski | Nurse Practitioner | 2350 N Rockton Ave, Suite 304, Rockford, IL 61103-3600 | 2015-05-17 |
1770854085 | Meghan Hess | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2012-01-18 |
1578792511 | Maxine Mathew | Internal Medicine | 2350 N Rockton Ave, Internal Medicine Dept, Rockford, IL 61103-3600 | 2009-07-13 |
1194965129 | Kevin Harold Ruggles | Psychiatry & Neurology | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2009-03-04 |
1477726396 | Spiros K. Analitis, M.d.,p.c. | General Acute Care Hospital | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2008-04-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
Find all providers in zip 61103 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
1548386998 | Swedishamerican Hospital | Surgery | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2007-03-21 |
1629014022 | Leslie Paul Edgcomb | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
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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.