DR. AZHAR KOTHAWALA


Address: 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879
Phone: 8153978400

DR. AZHAR KOTHAWALA (NPI# 1891042552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891042552
Entity Type Individual
Full Name DR. AZHAR KOTHAWALA
Credential M.D.
Practice Address 1235 N Mulford Rd Ste 222
Rockford
IL 61107-3879
Mailing Address 2202 Harlem Road
Suite 200
Loves Park
IL 61111-2754
Practice Telephone 8153978400
Practice Fax Number 8152290050
Mailing Telephone 8158774848
Mailing Fax Number 8156366125
Enumeration Date 2012-08-12
Last Update Date 2018-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology 036.140452 IL Allopathic & Osteopathic Physicians
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
036.140452 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036140452 05

Office Location

Street Address 1235 N MULFORD RD STE 222
City ROCKFORD
State IL
Zip Code 61107-3879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104859107 William Stephen Minore Anesthesiology 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 2006-07-10
1003442880 Candice Vicencio Nurse Practitioner 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 2020-03-12
1407309982 Daniel Robert Green Registered Nurse 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 2016-08-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336306406 Ishmeet Singh Anesthesiology 2400 N Rockton Avenue, Rockford Health Physicians, Rockford, IL 61103-3619 2008-05-16
1528068699 Hany M Afram Anesthesiology 6067 Strathmoor Dr, Rockford, IL 61107-6631 2005-07-29
1447542501 James M G Sturm Do Daba Anesthesiology 6957 Olde Creek Rd, Rockford, IL 61114-7423 2011-05-09
1689991713 Rockford Pain Center Ltd Anesthesiology 2902 Mcfarland Rd, # 202, Rockford, IL 61107-6801 2010-04-29
1316107097 Pain-free Living Services of Illinois, S.c. Anesthesiology 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 2008-06-16
1801842935 Pain Management Associates, Ltd Anesthesiology 6067 Strathmoor Dr, Rockford, IL 61107-6631 2006-05-26
1497704720 Arkadiusz Grochowski Anesthesiology 5301 E State St, Ste. 101, Rockford, IL 61108-2901 2006-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538775770 Regenerative Pain & Spine LLC Anesthesiology 2122 W Devon Ave, Chicago, IL 60659-3581 2020-09-22
1215552880 Babu Prasad, Md Anesthesiology 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 2020-06-10
1093330516 Modern Pain Consultants Anesthesiology 1802 N Division St Ste 605, Morris, IL 60450-3133 2020-06-10
1255956777 Modern Pain Consultants Anesthesiology 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 2020-06-10
1144844036 Interventional Pain Medicine of Chicago Sc Anesthesiology 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 2020-06-05
1720627862 Mm Infusions LLC Anesthesiology 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 2020-01-06
1538719778 Cpc Surgical Suite LLC Anesthesiology 555 W Court St Ste 100, Kankakee, IL 60901-3673 2019-09-19
1659854008 Rich Noren LLC Anesthesiology 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 2018-09-12
1003336470 Vertex Anesthesia LLC Anesthesiology 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 2017-06-26
1306386644 Advanced Pain and Anesthesia Consultants,pc Anesthesiology 5215 N California Ave Ste F715, Chicago, IL 60625-7014 2017-03-06
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Competitor

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City ROCKFORD
Zip Code 61107

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Dataset Information

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.

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