DR. ELIZABETH A PICKVANCE (NPI# 1508836107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508836107 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH A PICKVANCE |
| Credential | MD |
| Practice Address |
2350 N Rockton Ave Rockford IL 61103-3600 |
| Mailing Address |
2400 N Rockton Ave Rockford IL 61103-3655 |
| Practice Telephone | 8159717400 |
| Mailing Telephone | (815) 971-7400 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD.14838R | LA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 24215 | OK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 14838R | LA | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
036141771 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200189090A | 05 | |
| LA | 1148703 | 05 |
| 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 |
| 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 | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138933 | Brigid Smigiel | Orthopaedic Surgery | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-11-13 |
| 1871930693 | Shriners Hospitals for Children | Orthopaedic Surgery | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2013-06-03 |
| 1831402007 | Verena Michaela Schreiber | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069 | 2010-07-16 |
| 1477726610 | J.e.bertolini,m.d. Sc. | Orthopaedic Surgery | 202 N Hammes Ave, Suite D, Joliet, IL 60435-8129 | 2008-04-09 |
| 1679781355 | Orthopaedic and Rehabilitation Centers Sc | Orthopaedic Surgery | 5616 N Western Ave, Chicago, IL 60659-5113 | 2007-05-18 |
| 1427260959 | Joseph Aloysius Janicki | Orthopaedic Surgery | 225 E Chicago Ave, Box #69, Chicago, IL 60611-2991 | 2007-05-04 |
| 1487879961 | Illinois Valley Community Hospital | Orthopaedic Surgery | 920 West St, Suite 211, Peru, IL 61354-2763 | 2007-04-17 |
| 1487704052 | Michelle Lee Sagan | Orthopaedic Surgery | 225 E Chicago Ave, Box 69, Chicago, IL 60611-2991 | 2007-01-12 |
| 1841230471 | Krishna Anjali Singh | Orthopaedic Surgery | 301 N 8th St, Pav4b, Springfield, IL 62701-1041 | 2006-06-08 |
| 1306825435 | Monica Kogan | Orthopaedic Surgery | 1611 W Harrison St, #400, Chicago, IL 60612-4861 | 2006-01-17 |
| Find all providers with the same taxonomy | ||||
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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.