DR. JOHNATHAN WILLIAM EDWARDS (NPI# 1407026826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407026826 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHAN WILLIAM EDWARDS |
| Credential | D.C. |
| Practice Address |
3779 N Alpine Rd Rockford IL 61114-4807 |
| Practice Telephone | 8156339115 |
| Practice Fax Number | 8156338745 |
| Mailing Telephone | 8156339115 |
| Mailing Fax Number | 8156338745 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740258300 | Johnathan J Edwards | Anesthesiology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-03-09 |
| Street Address |
3779 N ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508122649 | Carolyn E Spadafino | Chiropractor | 3779 N Alpine Rd, Rockford, IL 61114-4807 | 2012-04-03 |
| 1194879668 | Stephen John Monson | Chiropractor | 3779 N Alpine Rd, Rockford, IL 61114 | 2007-01-22 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1477161966 | Trufant Chiropractic Center | Chiropractor | 11775 Cedar Rock Dr Ne Ste C, Rockford, MI 49341-8255 | 2020-07-21 |
| 1700405925 | James Robert Palmer IIi | Chiropractor | 863 S Perryville Rd, Rockford, IL 61108-4328 | 2020-04-09 |
| 1720613631 | Mario Nathaniel Rosales | Chiropractor | 818 Coolidge Pl, Rockford, IL 61107-3638 | 2020-03-11 |
| 1740840271 | Natalie Rose Richards | Chiropractor | 5875 E Riverside Blvd Ste 115, Rockford, IL 61114-4937 | 2019-06-17 |
| 1710449756 | Vitaliy Dobrogorskiy | Chiropractor | 4350 Morsay Dr, Rockford, IL 61107-4877 | 2019-04-01 |
| 1871008409 | Brad Johannsen | Chiropractor | 6769 Courtland Dr Ne Ste 100, Rockford, MI 49341-7243 | 2017-12-05 |
| 1245755867 | Lynch Chiropractic | Chiropractor | 3806 E State St Ste 101, Rockford, IL 61108-2057 | 2017-08-04 |
| 1871049692 | Nicole Theresa Giacopelli | Chiropractor | 6000 E State St Ste 201, Rockford, IL 61108-2521 | 2016-08-31 |
| 1396132692 | Kb Chiropractic Center, Inc. | Chiropractor | 2606 Broadway, Suite 1a, Rockford, IL 61108-5768 | 2015-04-24 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on DR. JOHNATHAN WILLIAM EDWARDS.
| 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.