RANDA M HASSAN (NPI# 1558459560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558459560 |
| Entity Type | Individual |
| Full Name | RANDA M HASSAN |
| Credential | MD |
| Practice Address |
1253 N Alpine Rd Rockford IL 61107-2201 |
| Mailing Address |
2740 W Foster Ave Ll7 Chicago IL 60625 |
| Practice Telephone | 8153917878 |
| Mailing Telephone | 7738788200 |
| Mailing Fax Number | 7732934197 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036115666 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 010122910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992005219 | Randa Hassan | Pharmacist | 1758 W Grand Ave, Grover Beach, CA 93433-2293 | 2010-11-02 |
| Street Address |
1253 N ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-2201 |
| 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 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1831174127 | Jovenel Dubois | Obstetrics & Gynecology | 2780 Mcfarland Rd, University Women & Children's Health Center, Rockford, IL 61107-6807 | 2005-12-09 |
| 1073511309 | Bruce A Jasper | Obstetrics & Gynecology | 6861 Villagreen Vw, Rockford, IL 61107-5639 | 2005-07-11 |
| 1780682393 | Timothy J Durkee | Obstetrics & Gynecology | 3505 North Bell School Road, Rockford, IL 61114 | 2005-07-08 |
| 1932745825 | Swedishamerican Hospital | Obstetrics & Gynecology | 2909 N Main St, Rockford, IL 61103-3100 | 2019-11-26 |
| 1922570035 | Swedishamerican Hospital | Obstetrics & Gynecology | 815 Marchesano Dr, Rockford, IL 61102-3521 | 2018-12-31 |
| 1124467253 | Bakytbubu Arynova | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2013-06-21 |
| 1821353889 | Bryan Taylor | Obstetrics & Gynecology | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2012-07-05 |
| 1376807867 | Vernee Pia Edwards | Obstetrics & Gynecology | 1200 W State St, Rockford, IL 61102-2112 | 2012-06-28 |
| 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.