MICHAEL JOHN FUMO (NPI# 1528196656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528196656 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN FUMO |
| Credential | M.D. |
| Practice Address |
351 Executive Pkwy Rockford IL 61107-5339 |
| Practice Telephone | 8153984057 |
| Mailing Telephone | 8153984057 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036117800 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036117800 | 05 |
| Street Address |
351 EXECUTIVE PKWY |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472631 | Dennis Michael Corcoran | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-18 |
| 1043507866 | Luke Richard Frederick | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2011-06-30 |
| 1831341593 | Thomas Tonghon Chung | Dentist | 351 Executive Pkwy, Suite L1, Rockford, IL 61107-5339 | 2008-10-14 |
| 1275745267 | Christopher Whelan | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2007-05-04 |
| 1194786558 | Rockford Urological Associates, Ltd. | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-03-28 |
| 1922078401 | Mark Edward Cormier | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-25 |
| 1649240128 | Robert Harry Lund | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-25 |
| 1003886094 | Daniel Lee Houlihan | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-24 |
| 1396725503 | Douglas Paul Roegner | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-23 |
| 1922088640 | Richard Anthony Valadez | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-19 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472631 | Dennis Michael Corcoran | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-18 |
| 1043507866 | Luke Richard Frederick | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2011-06-30 |
| 1275745267 | Christopher Whelan | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2007-05-04 |
| 1154419513 | Robert M Wendel | Urology | 1215 N Alpine Rd, Rockford, IL 61107-2201 | 2006-10-11 |
| 1326064940 | Warren L Lowry Sc | Urology | 1340 Charles St, Suite 200, Rockford, IL 61104-2200 | 2006-07-15 |
| 1194786558 | Rockford Urological Associates, Ltd. | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-03-28 |
| 1922078401 | Mark Edward Cormier | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-25 |
| 1649240128 | Robert Harry Lund | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-25 |
| 1003886094 | Daniel Lee Houlihan | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-24 |
| 1396725503 | Douglas Paul Roegner | Urology | 351 Executive Pkwy, Rockford, IL 61107-5339 | 2006-01-23 |
| Find all providers in ROCKFORD | ||||
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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.