SPINE SURGEONS INTEGRATED PLLC (NPI# 1659931319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659931319 |
| Entity Type | Organization |
| Organization Name | SPINE SURGEONS INTEGRATED PLLC |
| Practice Address |
5875 E Riverside Blvd Rockford IL 61114-4937 |
| Practice Telephone | 8153817431 |
| Mailing Telephone | 8153817431 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | MRS. LESLIE ELMER (MANAGER, CREDENTIALING AND RISK MAN) |
| Authorized Official Telephone | 8153817431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
5875 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126451 | Zeeshan Ahmad | Physical Medicine & Rehabilitation | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2005-07-01 |
| 1609415454 | Nicholas P Mckeown | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-26 |
| 1922646942 | Tori L Homb | Nurse Practitioner | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-20 |
| 1285296459 | Arron Dennis Buck | Physical Therapist | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-07-08 |
| 1740840404 | Midwest Integrated Surgeons, Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1255818894 | Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia | Anesthesiology | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2018-07-26 |
| 1568908283 | Robert S. Meyers | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2017-01-19 |
| 1427591726 | Raquel Ramirez | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-11-18 |
| 1104374503 | Amanda S. Pumilia | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-09-14 |
| 1619422516 | Rockford Orthopedic Associates, Ltd. | Durable Medical Equipment & Medical Supplies | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932207578 | Stephen F Weiss | Orthopaedic Surgery | 419 N Mulford Rd, Suite #3, Rockford, IL 61107-5197 | 2006-09-20 |
| 1477553659 | Mark E Hastings | Orthopaedic Surgery | 5668 E State St, Suite 400, Rockford, IL 61108-2490 | 2005-07-28 |
| 1801899935 | Dean T Fochios | Orthopaedic Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2005-05-23 |
| 1740840404 | Midwest Integrated Surgeons, Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1679851984 | Mathew Tod Legel | Orthopaedic Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-08-03 |
| 1609026921 | Swedishamerican Hospital | Orthopaedic Surgery | 324 Roxbury Rd, Rockford, IL 61107 | 2008-09-23 |
| 1528214160 | James Leitze Green | Orthopaedic Surgery | 1340 Charles St, Ste 400, Rockford, IL 61104-2200 | 2008-08-14 |
| 1144476995 | Brian Robert Braaksma | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2008-08-12 |
| 1619133139 | Brian J. Foster | Orthopaedic Surgery | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2008-08-04 |
| 1316103971 | Geoffrey S. Van Thiel | Orthopaedic Surgery | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2008-08-04 |
| 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.