KENDRA M HALL (NPI# 1548251432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548251432 |
| Entity Type | Individual |
| Full Name | KENDRA M HALL |
| Credential | M.D. |
| Practice Address |
3505 North Bell School Road Rockford IL 61114 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796960300 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036127029 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 28978 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 575079 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6861 Villagreen Vw, Rockford, IL 61107 | 8156376200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811461627 | Kendra Nicole Hall | Nurse Practitioner | 9879 Ky Route 122, Mc Dowell, KY 41647-6026 | 2019-01-15 |
| 1750876207 | Kendra Hall | Case Manager/Care Coordinator | 103 4th St, Jonesboro, LA 71251-3346 | 2018-06-27 |
| 1255840666 | Kendra Hall | Social Worker | 294 N Fair Ave, Hamilton, OH 45011-4222 | 2017-09-28 |
| 1417307539 | Kendra Hall | Behavioral Analyst | 1905 W Morton Ave, Jacksonville, IL 62650-2620 | 2016-06-20 |
| 1790037380 | Kendra Janelle Hall | Specialist | 1100 Johnson Ferry Rd Ne, Suite 105, Atlanta, GA 30342-1709 | 2012-10-08 |
| 1902062516 | Kendra L Hall | Emergency Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-08-03 |
| Street Address |
3505 NORTH BELL SCHOOL ROAD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682393 | Timothy J Durkee | Obstetrics & Gynecology | 3505 North Bell School Road, Rockford, IL 61114 | 2005-07-08 |
| 1578112603 | Kathryn A Spinker | Nurse Practitioner | 3505 North Bell School Road, Rockford, IL 61114 | 2019-09-11 |
| 1043536477 | Kaneez Fatima Ali | Obstetrics & Gynecology | 3505 North Bell School Road, Rockford, IL 61114 | 2010-04-09 |
| 1760705834 | Jurate Marija Bucha | Internal Medicine | 3505 North Bell School Road, Rockford, IL 61114 | 2010-03-03 |
| 1548358534 | Peter F Phelan | Internal Medicine | 3505 North Bell School Road, Rockford, IL 61114 | 2006-10-11 |
| 1275635211 | William S Renk | Pediatrics | 3505 North Bell School Road, Rockford, IL 61114 | 2006-09-01 |
| 1992807002 | Andrew P Geddes | Pediatrics | 3505 North Bell School Road, Rockford, IL 61114 | 2006-09-01 |
| 1538105093 | Tiffanie S Ferry | Family Medicine | 3505 North Bell School Road, Rockford, IL 61114-5632 | 2006-06-22 |
| 1447293451 | Daniel R Herdeman | Internal Medicine | 3505 North Bell School Road, Rockford, IL 61114 | 2006-06-14 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114470945 | Swedishamerican Hospital | Pediatrics | 461 N Mulford Rd Ste 4, Rockford, IL 61107-5165 | 2016-07-28 |
| 1720236680 | Kim Le Alt | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2008-09-04 |
| 1942310131 | William D. Hutt | Pediatrics | 5970 Churchview Dr, Rockford, IL 61107-2574 | 2006-08-30 |
| 1740290600 | Antonio R Baluga | Pediatrics | 6905 E State Street, Rockford, IL 61108 | 2006-08-09 |
| 1912911785 | Ignacio U Omengan | Pediatrics | 461 N Mulford Rd #10, Rockford, IL 61107 | 2006-07-28 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1962451732 | Swedishamerican Hospital | Pediatrics | 2550 Charles St, Rockford, IL 61108 | 2006-05-09 |
| 1518947258 | Beezer Moolji | Pediatrics | 2400 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 | 2006-01-19 |
| 1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
| 1508306093 | Rockford Pediatrics, PC | Pediatrics | 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | 2017-03-02 |
| 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.