DR. XU WANG (NPI# 1558577460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558577460 |
| Entity Type | Individual |
| Full Name | DR. XU WANG |
| Credential | M.D. |
| Practice Address |
444 Roxbury Rd Rockford IL 61107-5059 |
| Practice Telephone | 8153983000 |
| Mailing Telephone | 8153983000 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
003602 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552210 | Xu Wang | Preventive Medicine | 1005 Dr. D. B. Todd Blvd, Nashville, TN 37208 | 2006-01-12 |
| Street Address |
444 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980396 | Ronald B Foran | Specialist | 444 Roxbury Rd, Ste 1, Rockford, IL 61107-5059 | 2005-05-27 |
| 1841840352 | Julio Roberto Silva | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2019-09-17 |
| 1992177802 | Anupama Jose | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2015-10-30 |
| 1902127749 | Jennifer L Fasano | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2010-06-16 |
| 1821223520 | Samer Mowakeaa | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107 | 2009-05-26 |
| 1194965012 | Cardiovascular Institute At Osf, LLC | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2009-03-05 |
| 1992970271 | Soujanya Bogarapu | Pediatrics | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2008-04-28 |
| 1588759815 | Asad Sheikh | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2006-10-03 |
| 1295798742 | George A Zaverdas | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2006-04-07 |
| 1639153216 | Farhad Farokhi | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2005-12-06 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775775 | Rockford Cardiology Associates, Ltd | Internal Medicine | 444 Roxbury Road, Rockford, IL 61107-5059 | 2005-07-29 |
| 1508865718 | Shobashalini Chokkalingam | Internal Medicine | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2005-07-19 |
| 1194965012 | Cardiovascular Institute At Osf, LLC | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2009-03-05 |
| 1477704252 | Mazen Hadid | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-10-09 |
| 1457516965 | Rehmat Ullah Sheikh | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-07-23 |
| 1982795894 | Andrew Kotis | Internal Medicine | 1340 Charles St, Suite 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1639260508 | Paul T Vaitkus | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1003910423 | Prasad K. Kilaru | Internal Medicine | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2006-09-08 |
| 1760497416 | Yaser Siraj | Internal Medicine | 1340 Charles St, Rockford, IL 61104-2200 | 2006-07-30 |
| 1700805249 | Edward Andrew Telfer | Internal Medicine | 444 Roxbury Road, Rockford, IL 61107-5059 | 2006-07-18 |
| 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.