DR. FREDERICK WILLIAM CHURCH (NPI# 1871585034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871585034 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK WILLIAM CHURCH |
| Credential | M.D. |
| Practice Address |
7180 Spring Brook Rd Suite B Rockford IL 61114-6700 |
| Practice Telephone | 8159712299 |
| Practice Fax Number | 8159719749 |
| Mailing Telephone | 8159712299 |
| Mailing Fax Number | 8159719749 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036044472 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
7180 SPRING BROOK RD SUITE B |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414119 | Laura Anne Recob | Nurse Practitioner | 7180 Spring Brook Rd, Rockford, IL 61114-6700 | 2019-12-16 |
| 1831488394 | Visiting Nurses Association of The Rockford Area | Durable Medical Equipment & Medical Supplies | 7180 Spring Brook Rd, Rockford, IL 61114-6738 | 2011-04-05 |
| 1144476367 | Migena Betz | Radiology | 7180 Spring Brook Rd, Rockford, IL 61114-6700 | 2008-08-08 |
| 1104040922 | Arvind Mahatme | Surgery | 7180 Spring Brook Rd, Rockford, IL 61114-6700 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750584058 | Elisha Jamyce Robinson | Surgery | 2509 Mandrake Dr, Rockford, IL 61108-8132 | 2007-06-06 |
| 1770846974 | Krystle N Lange | Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2012-06-21 |
| 1881973014 | Igal Breitman | Surgery | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2011-08-05 |
| 1518253640 | Lacey M Stelle | Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-06-27 |
| 1447550884 | Tetsuya Takeuchi | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-11-02 |
| 1558686709 | Michael Anthony Hart | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-03-31 |
| 1285965905 | John Eric Player | Surgery | 5668 E State St, Suite 1000, Rockford, IL 61108-2464 | 2010-01-20 |
| 1912146119 | Kbclinic | Surgery | 5666 East State Street, Ambulatory Surgery Center/ Dr Blumofe, Rockford, IL 61108-2425 | 2009-02-11 |
| 1033384904 | William James Cowden | Surgery | 2300 N Rockton Ave, Suite 304, Rockford, IL 61103-3619 | 2008-04-23 |
| 1063686848 | Dacia Aurelia Pickering | Surgery | 5668 E State St, #2, Rockford, IL 61108-2490 | 2008-04-14 |
| 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.