KEVIN J PEIFER (NPI# 1699751446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699751446 |
| Entity Type | Individual |
| Full Name | KEVIN J PEIFER |
| Credential | M.D. |
| Practice Address |
401 Roxbury Rd Rockford IL 61107-5075 |
| Practice Telephone | 8153977340 |
| Practice Fax Number | 8153972156 |
| Mailing Telephone | 8153977340 |
| Mailing Fax Number | 8153972156 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
36114937 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL PHYSICIAN LICENSE | 36114937 | 01 |
| MO | MO PHYSICIAN LICENSE | 2001008546 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647641 | Kevin Edward Peifer | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-04-06 |
| Street Address |
401 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821089 | Brad Alan Bowyer | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2005-09-16 |
| 1487197356 | Marjorie Hotopp | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2016-11-28 |
| 1689000424 | Corrie Elizabeth Scott | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-09-25 |
| 1912330895 | Stacia Langan Sackmaster | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-08-15 |
| 1538406053 | Jennifer A Ward | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-01-04 |
| 1730426230 | Janelle D Defilippis | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2013-01-04 |
| 1417209768 | Brenda L Garrett | Nurse Practitioner | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2012-10-11 |
| 1710140041 | George Chahine Tannous | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-07-07 |
| 1154597284 | Sumeet K. Tewani | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-05-08 |
| 1588834519 | Ilche Teodore Nonevski | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-03-05 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1205821089 | Brad Alan Bowyer | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2005-09-16 |
| 1710140041 | George Chahine Tannous | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-07-07 |
| 1588834519 | Ilche Teodore Nonevski | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2008-03-05 |
| 1699809806 | Sunil Shashikant Patel | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2007-03-16 |
| 1598875783 | Richard B. Gilmore | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-08-30 |
| 1710097902 | Milton G. Schmitt | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-08-30 |
| 1093732331 | Peter M. Oshin | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-07-16 |
| 1669413522 | Clinton T Snedegar | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2006-06-09 |
| 1295722569 | James T Frakes | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2005-10-03 |
| 1538156948 | John J Deguide | Internal Medicine | 401 Roxbury Rd, Rockford, IL 61107-5075 | 2005-09-30 |
| 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.