PATRICIA BRANDON (NPI# 1497815013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497815013 |
| Entity Type | Individual |
| Full Name | PATRICIA BRANDON |
| Credential | NP |
| Practice Address |
2300 N Rockton Ave Rockford IL 61103-3619 |
| Practice Telephone | 8159712000 |
| Mailing Telephone | 8159712000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209002183 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285032094 | Patricia Brandon | Licensed Practical Nurse | 3588 Mary Ann Dr, Lebanon, OH 45036-1001 | 2014-12-10 |
| 1295837987 | Patricia Brandon | Psychologist | 2406 Nw Redwood Ln, Lawton, OK 73505-1313 | 2006-09-02 |
| 1023098068 | Patricia Lee Brandon | Nurse Practitioner | 1427 Nw Flanders St Ste A, Portland, OR 97209-2646 | 2006-01-17 |
| 1285887950 | Patricia Brandon | Counselor | 3201 Trenholm Rd, Columbia, SC 29204-3371 | 2008-10-28 |
| 1679593826 | Patricia Brandon | Chiropractor | 2717 N 4th St, Suite 100, Flagstaff, AZ 86004-1847 | 2006-07-20 |
| Street Address |
2300 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3619 |
| 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 |
| 1538768056 | Patti J Wakefield | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-10-26 |
| 1235759192 | Kathryn N Norup | Physical Therapy Assistant | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-04-21 |
| 1407401912 | Eric Paulos | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-08-02 |
| 1013479575 | Jennifer Davidson | Occupational Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-04-03 |
| 1508321597 | Megan Lee Haas | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-02-05 |
| 1336634179 | Molly C Grosvenor | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-06-25 |
| 1750870291 | Lori Ann Moroz | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-05-09 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1578074753 | Dennis Durano Magdadaro | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-10-16 |
| Find all providers in the same location | ||||
| 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 | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639104359 | Alta L Ryan | Nurse Practitioner | 209 9th St, Suite 200, Rockford, IL 61104-2235 | 2006-07-11 |
| 1801879663 | Jill Weberg | Nurse Practitioner | 1415 E State St Ste 800, Rockford, IL 61104 | 2005-11-25 |
| 1134148919 | Cynthia Gail Elliott-zippe | Nurse Practitioner | 209 9th St, Suite 200, Rockford, IL 61104 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
| 1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
| 1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
| 1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
| 1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
| 1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
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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.