EAR NOSE & THROAT SPECIALISTS OF ROCKFORD SC (NPI# 1740491745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740491745 |
| Entity Type | Organization |
| Organization Name | EAR NOSE & THROAT SPECIALISTS OF ROCKFORD SC |
| Other Organization Name | JAMES MELVIN SEVERSON |
| Practice Address |
435 N Mulford Rd Suite 10 Rockford IL 61107-5189 |
| Practice Telephone | 8153995268 |
| Practice Fax Number | 8153993623 |
| Mailing Telephone | 8153995268 |
| Mailing Fax Number | 8153993623 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | DR. JAMES MELVIN SEVERSON III (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8153995268 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 036067207 | IL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036067207 | 05 |
| Other Name | Type Code |
|---|---|
| James Melvin Severson | Other Name - Individual/Organization |
| Street Address |
435 N MULFORD RD SUITE 10 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573675 | Aami N. Molloy | Audiologist | 435 N Mulford Rd, Rockford, IL 61107-5189 | 2006-01-18 |
| 1225461486 | Brenton Brian Soltys | Dentist | 435 N Mulford Rd, Suite 11, Rockford, IL 61107-5189 | 2013-08-12 |
| 1063752590 | Peak Medical Home Care Inc. | Home Health | 435 N Mulford Rd, Suite 7, Rockford, IL 61107-5189 | 2013-02-20 |
| 1871887604 | Diane Lynn Ege | Audiologist | 435 N Mulford Rd, Rockford, IL 61107-5189 | 2011-06-09 |
| 1790945905 | Todd David Deutch | Obstetrics & Gynecology | 435 N Mulford Rd, Suite 9, Rockford, IL 61107-5189 | 2008-06-11 |
| 1154506749 | Advanced Reproductive Center, Ltd. | Specialist | 435 N Mulford Rd, Suite 9, Rockford, IL 61107-5189 | 2008-01-02 |
| 1134312945 | Vanessa Romine Parker | Registered Nurse | 435 N Mulford Rd, Suite 7, Rockford, IL 61107-5189 | 2007-08-24 |
| 1578776423 | Brian F. Soltys | Dentist | 435 N Mulford Rd, Suite 11, Rockford, IL 61107-5189 | 2007-05-08 |
| 1114047834 | Peak Personnel, Inc. | Home Health | 435 N Mulford Rd, Suite 7, Rockford, IL 61107-5189 | 2007-03-29 |
| 1104943331 | Janet L. Depalma | Audiologist | 435 N Mulford Rd, Suite #10a, Rockford, IL 61107-5189 | 2007-03-23 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005776 | Anointed Help Medical Services | Preferred Provider Organization | 1340 Charles St, Suite 400, Rockford, IL 61104-2200 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1134686439 | Qualsight LLC | Preferred Provider Organization | 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 | 2019-02-23 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1821549163 | Family Dental Practice | Preferred Provider Organization | 9709 Milwaukee Ave, Glenview, IL 60025-4567 | 2016-10-21 |
| 1548613094 | Shaunna R Repa | Preferred Provider Organization | 2231 Dawson Ln, Algonquin, IL 60102-5983 | 2016-07-20 |
| 1417308081 | Mother Dearest | Preferred Provider Organization | 14214 Woodlawn Ave, Dolton, IL 60419-1316 | 2016-06-24 |
| 1992154991 | Demoulin Family Chiropractic, Ltd. | Preferred Provider Organization | 11danada Square East, Wheaton, IL 60189-8484 | 2016-06-09 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
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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.