DR. JOSEPH THOMAS FANARA (NPI# 1578658506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578658506 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THOMAS FANARA |
| Credential | DPM |
| Practice Address |
1617 Temple Lane Rockford IL 61112-1045 |
| Practice Telephone | 8153325222 |
| Practice Fax Number | 8153325223 |
| Mailing Telephone | 8153325222 |
| Mailing Fax Number | 8153325223 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004607 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1617 TEMPLE LANE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61112-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215213475 | Matthew Caleb Beary | Physical Therapist | 1545 Temple Lane, Rockford, IL 61112 | 2011-11-01 |
| 1730469206 | Herman Chen | Pharmacist | 2206 Barnes Blvd, Rockford, IL 61112 | 2011-08-27 |
| 1598850273 | Charles W Matty | Dentist | 1855 Daimler Rd, Rockford, IL 61112 | 2006-10-04 |
| 1942317607 | James Edward Nijoka | Dentist | 1855 Daimler Road, Rockford, IL 61112 | 2006-08-25 |
| 1053366591 | Vincent R Facchiano | Optometrist | E265 Cherryvale Mall, Rockford, IL 61112 | 2006-05-23 |
| 1780616029 | Daniel Gordon Thorstenson | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-07 |
| 1760800221 | Brock Stephen Field | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2014-04-02 |
| 1629366489 | Craig Anthony Stear Jr. | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2011-07-14 |
| 1104931427 | Hulsebus Rockford Chiropractic | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-08-19 |
| 1215958970 | Michael John Hulsebus | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-21 |
| Find all providers in zip 61112 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137685 | Shah Foot & Ankle LLC | Podiatrist | 3851 N Mulford Rd, Rockford, IL 61114-5603 | 2016-07-05 |
| 1528455565 | Biren Shah | Podiatrist | 6090 Strathmoor Dr Ste 6, Rockford, IL 61107-5200 | 2015-04-16 |
| 1821481755 | Rps Surgical Ltd | Podiatrist | 1617 Temple Ln, Rockford, IL 61112-1045 | 2015-03-17 |
| 1598985939 | Tina Renee Entwistle | Podiatrist | 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | 2007-04-26 |
| 1427059237 | Flavio Cordano | Podiatrist | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2005-08-02 |
| 1952306045 | Dinesh C Pandya | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2005-06-16 |
| 1992298822 | Joshua Mark Hendricks | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2018-06-14 |
| 1255852877 | Brittany Nicole Wojnicki | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2017-07-05 |
| 1376921072 | Templin & Associates Podiatry P.C. | Podiatrist | 5695 Strathmoor Dr, Suite 1, Rockford, IL 61107-5192 | 2015-05-13 |
| 1205198157 | Kyle V Templin | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2012-06-15 |
| 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.