JERALD E CUNDIFF (NPI# 1629068135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629068135 |
| Entity Type | Individual |
| Full Name | JERALD E CUNDIFF |
| Credential | MD |
| Practice Address |
101 E Miller Rd Sterling IL 61081 |
| Mailing Address |
800 West Ave S La Crosse WI 54601-8806 |
| Practice Telephone | 8156254790 |
| Mailing Telephone | 6087919871 |
| Mailing Fax Number | 6087917852 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 38957 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32545800 | 05 | |
| MN | 291023300 | 05 |
| Street Address |
101 E MILLER RD |
| City | STERLING |
| State | IL |
| Zip Code | 61081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141407 | Dianne Limesand | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2005-06-02 |
| 1114535903 | Jaziel Chavira | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2020-07-17 |
| 1083238299 | Anja Wolf | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2020-06-03 |
| 1477196723 | Danelle Saunders | Registered Nurse | 101 E Miller Rd, Sterling, IL 61081-1252 | 2019-10-18 |
| 1780231134 | Lindsay M Rodriguez | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2019-08-21 |
| 1508329871 | Amanda C Dawson | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2019-04-12 |
| 1295296838 | Erika Lynn Stach | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2019-03-27 |
| 1013473305 | Laurie A Buckman | Midwife | 101 E Miller Rd, Sterling, IL 61081-1252 | 2019-02-12 |
| 1770055881 | Theresa A Rogers | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2018-12-31 |
| 1992200018 | Courtney Ann Mohr | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081-1252 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1043736473 | Miranda Foster | Dentist | 415 Locus St, Ste A, Sterling, IL 61081 | 2017-08-17 |
| 1740614320 | Wesley Alfred Vermies | Pharmacist | 2901 E. Fourth St, Sterling, IL 61081 | 2013-08-30 |
| 1285974311 | Occupational Health Services 1 | Clinic/Center | 4204 E Lincolnway Ave., Suite D, Sterling, IL 61081 | 2013-02-27 |
| 1912259185 | James S. Ferris, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 2000 N Locust St Ste. B, Sterling, IL 61081 | 2012-10-11 |
| 1801148127 | Sauk Valley Physical Therapy, Inc. | Clinic/Center | 4204 E Lincolnway Ave, Suite D, Sterling, IL 61081 | 2012-10-10 |
| 1447534938 | Kayla Elizabeth Roth | Physical Therapist | 4204 East Lincolnway Avenue, Suite D, Sterling, IL 61081 | 2011-10-04 |
| 1912217951 | Ajay Katiyar | Optometrist | 4304 E Lincolnway Ave, Sterling, IL 61081 | 2010-10-08 |
| 1083851000 | Donald Francis Kurten | Dentist | 2000 N. Locust, Suite D, Sterling, IL 61081 | 2009-01-13 |
| 1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
| Find all providers in zip 61081 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912095019 | Darrell Steven Reisner | Ophthalmology | 21475 Ridgetop Cir Ste 300, Sterling, VA 20166-8580 | 2006-10-11 |
| 1982678223 | William F Deegan IIi | Ophthalmology | 46161 Westlake Dr Ste 300, Sterling, VA 20165-5871 | 2006-02-14 |
| 1447223888 | Mohammed Kairy Barazi | Ophthalmology | 21351 Ridgetop Cir, Suite 140, Sterling, VA 20166-6561 | 2006-02-08 |
| 1548260961 | John M Hahn | Ophthalmology | 10 W 3rd St, Sterling, IL 61081-3503 | 2005-07-28 |
| 1760879902 | Loudoun Medical Group PC | Ophthalmology | 21475 Ridgetop Cir, Suite 300, Sterling, VA 20166-6580 | 2015-04-24 |
| 1215268131 | Sterling Eye Care & Surgery, P.C. | Ophthalmology | 1414 S 3rd Ave, Sterling, CO 80751-4650 | 2010-01-15 |
| 1366688160 | Arlington Loudoun Pediatric Ophthalmology Pllc | Ophthalmology | 46161 Westlake Dr, Suite 300, Sterling, VA 20165-5871 | 2008-12-29 |
| 1821137738 | Joanne Crenshaw, Md PC | Ophthalmology | 21135 Whitfield Place, Suite 102, Sterling, VA 20165-7279 | 2007-02-06 |
| 1144397258 | Tamer Mansour | Ophthalmology | 21475 Ridgetop Cir Ste 300, Sterling, VA 20166-8580 | 2006-11-30 |
| 1710069950 | Northern Virginia Vision Center, Inc. | Ophthalmology | 21475 Ridgetop Circle, Suite 300, Sterling, VA 20166-6580 | 2006-10-19 |
| Find all providers in STERLING | ||||
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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.