THOMAS J SHULA (NPI# 1760486245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760486245 |
| Entity Type | Individual |
| Full Name | THOMAS J SHULA |
| Credential | MD |
| Practice Address |
444 Roxbury Rd Rockford IL 61107-5059 |
| Practice Telephone | 8152275600 |
| Practice Fax Number | 8152279242 |
| Mailing Telephone | 8152275600 |
| Mailing Fax Number | 8152279242 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036074760 | IL | Other Service Providers |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
036-074760 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036074760 | 05 |
| Street Address |
444 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980396 | Ronald B Foran | Specialist | 444 Roxbury Rd, Ste 1, Rockford, IL 61107-5059 | 2005-05-27 |
| 1841840352 | Julio Roberto Silva | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2019-09-17 |
| 1992177802 | Anupama Jose | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2015-10-30 |
| 1902127749 | Jennifer L Fasano | Nurse Practitioner | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2010-06-16 |
| 1821223520 | Samer Mowakeaa | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107 | 2009-05-26 |
| 1194965012 | Cardiovascular Institute At Osf, LLC | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2009-03-05 |
| 1992970271 | Soujanya Bogarapu | Pediatrics | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2008-04-28 |
| 1558577460 | Xu Wang | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2007-05-15 |
| 1588759815 | Asad Sheikh | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2006-10-03 |
| 1295798742 | George A Zaverdas | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2006-04-07 |
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| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457499 | Lynn Mary Kutsche | Pediatrics | 1415 E State St, Suite 601, Rockford, IL 61104 | 2006-05-23 |
| 1821380064 | Osf Children's Medical Group - Congenital Heart Center, LLC | Pediatrics | 5701 Strathmoor Dr, Ste 1, Rockford, IL 61107-5182 | 2011-05-06 |
| 1992970271 | Soujanya Bogarapu | Pediatrics | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386187458 | A2z Care Med-peds Specialists, PC | Pediatrics | 550 East Bougton Road, Suite 110, Bolingbrook, IL 60440-2194 | 2016-11-22 |
| 1003369836 | Peter Varga Md Sc | Pediatrics | 317 N Euclid Ave, Oak Park, IL 60302-2109 | 2016-07-28 |
| 1699153791 | Siddharth Dubey | Pediatrics | 400 N 9th St Fl 2, Springfield, IL 62702-5310 | 2015-05-11 |
| 1558759738 | Axiom Clinic, Sc | Pediatrics | 4202 Forest Ave, Downers Grove, IL 60515-2049 | 2014-12-22 |
| 1265853170 | Leo Henikoff Jr. | Pediatrics | 1437 W Lexington St, Chicago, IL 60607-4013 | 2013-12-18 |
| 1932425188 | Amy Marie O'connor | Pediatrics | 225 E Chicago Ave # 21, Chicago, IL 60611-2991 | 2010-04-13 |
| 1376709519 | Sanmit Kumar Basu | Pediatrics | 5841 S Maryland Ave # Mc4051, Chicago, IL 60637-1443 | 2008-08-06 |
| 1104012053 | Mukesh M. Doshi, M.d., S.c. | Pediatrics | 1768 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169 | 2007-09-24 |
| 1740483627 | Priti M. Patel | Pediatrics | 530 Ne Glenoak Ave, Peoria, IL 61603-3133 | 2007-06-07 |
| 1134241383 | Ep Consultation, Ltd | Pediatrics | 910 W Van Buren St, Ste 226, Chicago, IL 60607-3523 | 2007-04-06 |
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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.