MARGARET PROVENZA (NPI# 1457378283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457378283 |
| Entity Type | Individual |
| Full Name | MARGARET PROVENZA |
| Other Name | MARGARET JOVE |
| Practice Address |
1253 N Alpine Rd Rockford IL 61107 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796969201 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036072887 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036072887 | 05 |
| Street Address |
1253 N ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942227905 | Carolyn M Awender | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-07-16 |
| 1821433137 | Aleida Rodriguez | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2013-05-01 |
| 1366756793 | Jennifer C Lane | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-07-27 |
| 1730404419 | Kelly M Logli | Nurse Practitioner | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-04-06 |
| 1104065598 | Jessica E Muccianti | Physician Assistant | 1253 N Alpine Rd, Rockford, IL 61107 | 2009-02-10 |
| 1861655375 | Sravanthi Nagavalli | Internal Medicine | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-07-03 |
| 1528231354 | Heath A. Hoffman | Podiatrist | 1253 N Alpine Rd, Rockford, IL 61107 | 2008-04-13 |
| 1194903849 | Ann L. Broughton | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2008-02-05 |
| 1144382268 | Swedishamerican Hospital | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2006-12-14 |
| 1982782728 | Rachael E Dolezal | Audiologist | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-11-01 |
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| 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 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366756793 | Jennifer C Lane | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107 | 2010-07-27 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1699968263 | Saint Anthony Medical Center | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-08-27 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1437251931 | Mark L. Lundine | Otolaryngology | 1253 N Alpine Rd, Rockford, IL 61107-2201 | 2006-09-04 |
| 1265548945 | Ronald V. Washak | Otolaryngology | 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103-3619 | 2006-08-22 |
| 1871504415 | Andrew G Gaiziunas | Otolaryngology | 1415 E State St, Suite A6, Rockford, IL 61104-2333 | 2006-08-10 |
| 1245290758 | Adam Soliman | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-03-27 |
| 1841270717 | Andrew I. Jun | Otolaryngology | 1235 N Mulford Rd, Ste 205, Rockford, IL 61107-3879 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
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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.