WILLIAM L BUNTAIN (NPI# 1700902608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700902608 |
| Entity Type | Individual |
| Full Name | WILLIAM L BUNTAIN |
| Credential | MD |
| Practice Address |
2350 N Rockton Ave Rockford IL 61103-3600 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 8159717255 |
| Practice Fax Number | 8159719955 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036131963 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 20030056 | NM | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
04-23862 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 35326751 | 05 |
| Street Address |
2350 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899935 | Dean T Fochios | Orthopaedic Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2005-05-23 |
| 1518593342 | Leah Burns | Physician Assistant | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2020-03-12 |
| 1275185142 | Brenda Ann Beilfuss | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2019-07-11 |
| 1588135529 | Constance Faye Blaisdell | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2018-12-17 |
| 1982144762 | Lu Ann Ostrander | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2017-02-28 |
| 1821476359 | Hanna J Rakowski | Nurse Practitioner | 2350 N Rockton Ave, Suite 304, Rockford, IL 61103-3600 | 2015-05-17 |
| 1770854085 | Meghan Hess | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2012-01-18 |
| 1578792511 | Maxine Mathew | Internal Medicine | 2350 N Rockton Ave, Internal Medicine Dept, Rockford, IL 61103-3600 | 2009-07-13 |
| 1194965129 | Kevin Harold Ruggles | Psychiatry & Neurology | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2009-03-04 |
| 1477726396 | Spiros K. Analitis, M.d.,p.c. | General Acute Care Hospital | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2008-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629127691 | Swedishamerican Hospital | Surgery | 3775 N Mulford Rd, Rockford, IL 61114 | 2007-01-09 |
| 1376653568 | Arthur N. Rettig | Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2006-08-30 |
| 1366464950 | Kristine Jane Thayer | Surgery | 2350 N Rockton Ave, Pediatric Surgery, Rockford, IL 61103-3600 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421680 | John Wesley | Surgery | 185 S Old Creek Rd, Vernon Hills, IL 60061-3134 | 2014-09-29 |
| 1407089923 | Angel Bassuk | Surgery | 9655 Woods Dr, Skokie, IL 60077-4418 | 2009-09-01 |
| 1417141904 | Erik Ryan Barthel | Surgery | 5841 S Maryland Ave # Mc4062, University of Chicago Medicine, Chicago, IL 60637-1447 | 2007-08-28 |
| 1467666081 | Connie Jean Rossini | Surgery | 1725 W Harrison St Ste 708, Chicago, IL 60612-3841 | 2007-05-10 |
| 1356394217 | Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave # 114, Chicago, IL 60611-2991 | 2006-05-19 |
| 1154309284 | Ann Oconnor | Surgery | 25 N. Winfield Road, Winfield, IL 60190 | 2006-01-09 |
| 1356822050 | Lurie Childrens Surgical Foundation Inc | Surgery | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-08-22 |
| 1649774803 | Rachael Sundland | Surgery | 5841 S Maryland Ave # Mc4062, Chicago, IL 60637-1443 | 2018-03-22 |
| 1245746213 | Chicagoland University Pediatric Surgery, LLC | Surgery | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2017-12-28 |
| 1558740563 | Edward Health Ventures | Surgery | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2015-05-22 |
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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.