DR. RANDALL J ROGALSKY (NPI# 1760475602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475602 |
| Entity Type | Individual |
| Full Name | DR. RANDALL J ROGALSKY |
| Credential | MD |
| Practice Address |
1 Professional Dr Ste 120 Alton IL 62002 |
| Practice Telephone | 6184638555 |
| Practice Fax Number | 6184638556 |
| Mailing Telephone | 6184638555 |
| Mailing Fax Number | 6184638556 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-073440 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PTAN | 207219 | 01 |
| Street Address |
1 PROFESSIONAL DR STE 120 |
| City | ALTON |
| State | IL |
| Zip Code | 62002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525271 | Tariq L Quadri | Internal Medicine | 1 Professional Dr, Suite 220, Alton, IL 62002-5068 | 2005-08-17 |
| 1275072944 | Abigail Marie Lorentz | Physical Therapist | 1 Professional Dr, Suite 10, Alton, IL 62002-5068 | 2017-02-15 |
| 1770025868 | Angela Lytle | Nurse Practitioner | 1 Professional Dr, Alton, IL 62002-5068 | 2016-11-07 |
| 1952778474 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-09-01 |
| 1154798882 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-08-28 |
| 1194106393 | Elizabeth Anne Schrumpf | Nurse Practitioner | 1 Professional Dr, Alton, IL 62002-5068 | 2015-06-12 |
| 1386047058 | Kristyn Hager | Physical Therapist | 1 Professional Dr, Suite 10, Alton, IL 62002-5068 | 2014-10-08 |
| 1477952067 | Briana R Waldeck | Nurse Practitioner | 1 Professional Dr, Suite 220, Alton, IL 62002-5068 | 2014-08-19 |
| 1558783647 | Alton Memorial Physician Billing Services LLC | Pediatrics | 1 Professional Dr, Alton, IL 62002 | 2014-01-09 |
| 1316252463 | Bjc Home Care Services | Hospice Care, Community Based | 1 Professional Dr, Suiet 180, Alton, IL 62002-5068 | 2010-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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 |
|---|---|---|---|---|
| 1710910583 | Bruce T Vest | Orthopaedic Surgery | 4411 Alby St, Alton, IL 62002-5916 | 2006-07-07 |
| 1750368809 | Alton Center of Bone and Joint Surgery | Orthopaedic Surgery | 533 E 3rd St, Alton, IL 62002-6302 | 2005-12-29 |
| 1841461134 | Aaron Patrick Omotola | Orthopaedic Surgery | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2008-03-14 |
| 1851598429 | John W Stirton | Orthopaedic Surgery | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2007-06-28 |
| 1548333784 | John E Stirnaman | Orthopaedic Surgery | 4 Memorial Drive, Ste 130b, Alton, IL 62002-4707 | 2006-11-16 |
| 1730250051 | Michael M Taylor | Orthopaedic Surgery | 4 Memorial Drive, Ste 130b, Alton, IL 62002-4707 | 2006-11-10 |
| 1982637658 | Orthopedic & Sports Medicine Clinic, P.C. | Orthopaedic Surgery | 4411 Alby St, Alton, IL 62002-5916 | 2006-07-08 |
| 1992782049 | James E Segrist | Orthopaedic Surgery | 533 E 3rd St, Alton, IL 62002-6302 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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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.