ASMA SYED KHAN (NPI# 1568877678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568877678 |
| Entity Type | Individual |
| Full Name | ASMA SYED KHAN |
| Credential | D.O. |
| Practice Address |
1502 Parkview Ave Rockford IL 61107-1821 |
| Practice Telephone | 8153817250 |
| Mailing Telephone | 8153817250 |
| Mailing Fax Number | 8153817251 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036146664 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 288804-1 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Nicolls Rd, Hsc T11 Room 060, Stony Brook, NY 11794 | 6314447653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477996775 | Asma Khan | Family Medicine | 12430 Oxford Park Dr, Apt 7310, Houston, TX 77082-2563 | 2013-04-17 |
| 1538461728 | Asma Mushir Ahmad Khan | Student in an Organized Health Care Education/Training Program | 811 New York Ave, Room 709, Brooklyn, NY 11203-2720 | 2010-11-22 |
| 1699091579 | Asma Khan | Student in an Organized Health Care Education/Training Program | 8355 Lefferts Blvd, Apt 1a, Kew Gardens, NY 11415-2505 | 2010-04-16 |
| 1982930640 | Asma Khan | Family Medicine | 98 Stonewall Cir, West Harrison, NY 10604-1146 | 2009-10-30 |
| 1659518264 | Asma N Khan | Podiatrist | 4 Flowers Dr Ste 2, Mechanicsburg, PA 17050-1709 | 2009-01-20 |
| 1376663294 | Asma Sohail Khan | Internal Medicine | 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291 | 2007-04-02 |
| 1922647759 | Asma Khan | Pharmacist | 1301 Broadway St, Redwood City, CA 94063-2522 | 2019-12-26 |
| 1811475478 | Asma S. Khan | Optometrist | 321 S Larkin Ave, Joliet, IL 60436-1258 | 2018-08-04 |
| 1780106195 | Asma Khan | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2017-07-07 |
| 1699018077 | Asma Khan | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405 | 2013-04-03 |
| Street Address |
1502 PARKVIEW AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144414921 | Moses Godofredo Tomacruz | Family Medicine | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2007-09-05 |
| 1932743432 | Lisa Katherine Fasone | Physician Assistant | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2019-10-29 |
| 1184134462 | Shanta Tamika Mcgee | Nurse Practitioner | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2017-10-02 |
| 1831546340 | Laura J. Jorgensen | Nurse Practitioner | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2016-05-16 |
| 1184024325 | Nathaniel Holmes | Physical Therapist | 1502 Parkview Ave, Rockford, IL 61107-1821 | 2014-08-25 |
| 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 | 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.