| Trinity Medical Center | |
|
2701 17th St Rock Island IL 61201-5351 | |
| (309) 779-3000 | |
| Not Available |
| Full Name | Trinity Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2701 17th St, Rock Island, Illinois |
| Authorized Official Name and Position | Joseph Provateare (DIRECTOR SUPPORT SERVICES) |
| Authorized Official Contact | 3097792022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Center 4600 3rd St Moline IL 61265-6106 Ph: (309) 779-2032 | Trinity Medical Center 2701 17th St Rock Island IL 61201-5351 Ph: (309) 779-3000 |
| NPI Number | 1033163829 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 04/11/2017 |
| Medicare PECOS PAC ID | 2264337518 |
|---|---|
| Medicare Enrollment ID | O20040217000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033163829 | NPI | - | NPPES |
| 0276170 | Medicaid | IA | |
| 0219253 | Medicaid | IA | |
| 04049 | Other | BCWELLMARK ENRICH GR | |
| CB8516 | Other | IL | RR MEDICARE |
| CB8524 | Other | IL | RR MEDICARE |
| CB8530 | Other | IL | RR MEDICARE |
| CB8166 | Other | IL | RR MEDICARE |
| 8115303 | Other | BCILLINOIS RYC | |
| CK0834 | Other | IL | RR MEDICARE |
| 99817 | Other | BCWELLMARK GROUP |
| Provider Name | Rafat R Padaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497734388 PECOS PAC ID: 7911809488 Enrollment ID: I20040414000640 |
| Provider Name | Sanjeev H Puri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023097839 PECOS PAC ID: 2769387505 Enrollment ID: I20040423000183 |
| Provider Name | Blair W Foreman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750360616 PECOS PAC ID: 9032106307 Enrollment ID: I20040428001001 |
| Provider Name | Jeremy Irving |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578536215 PECOS PAC ID: 5890783385 Enrollment ID: I20040504000405 |
| Provider Name | Joseph Michael Bertroche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174576169 PECOS PAC ID: 4587653225 Enrollment ID: I20040508000242 |
| Provider Name | Thomas F Ramstack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710950712 PECOS PAC ID: 1759378383 Enrollment ID: I20040831000657 |
| Provider Name | Helbert V Acosta |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477532281 PECOS PAC ID: 1254395668 Enrollment ID: I20041116000510 |
| Provider Name | Sora H Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285613901 PECOS PAC ID: 3274526645 Enrollment ID: I20041116000716 |
| Provider Name | Faraz M Manazir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104805092 PECOS PAC ID: 6901860246 Enrollment ID: I20041116000767 |
| Provider Name | Bouyella H Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043299746 PECOS PAC ID: 2466445838 Enrollment ID: I20041116000855 |
| Provider Name | Aswartha R Pothula |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497734396 PECOS PAC ID: 5698739985 Enrollment ID: I20041116001062 |
| Provider Name | Kevin W Kurth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235102567 PECOS PAC ID: 5991755324 Enrollment ID: I20050124001019 |
| Provider Name | Udaya Shreesha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093762213 PECOS PAC ID: 6204866163 Enrollment ID: I20050819000552 |
| Provider Name | Edmund P Coyne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906138 PECOS PAC ID: 4587566047 Enrollment ID: I20051108000472 |
| Provider Name | Michael T Barr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588639926 PECOS PAC ID: 8729026430 Enrollment ID: I20051219000820 |
| Provider Name | Nicolas W Shammas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922087857 PECOS PAC ID: 9931001492 Enrollment ID: I20060104000363 |
| Provider Name | Costas L Constantinou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518970748 PECOS PAC ID: 5890750301 Enrollment ID: I20060119000141 |
| Provider Name | Kelly J Airey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538186382 PECOS PAC ID: 2668419151 Enrollment ID: I20060404000326 |
| Provider Name | Nazir Y Kayali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083619571 PECOS PAC ID: 4688679251 Enrollment ID: I20061003000731 |
| Provider Name | Celeste Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518970334 PECOS PAC ID: 1355347238 Enrollment ID: I20061026000608 |
| Provider Name | Chad D Vanderlinden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578674180 PECOS PAC ID: 4789617978 Enrollment ID: I20061031000453 |
| Provider Name | Vijayaraghavan R Rajendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679552517 PECOS PAC ID: 5395742886 Enrollment ID: I20070130000445 |
| Provider Name | Jon A Robken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750360764 PECOS PAC ID: 3476455940 Enrollment ID: I20070131000779 |
| Provider Name | Kathleen J Keyes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316926264 PECOS PAC ID: 9830198670 Enrollment ID: I20070209000095 |
| Provider Name | William J Witcik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619956547 PECOS PAC ID: 5294637765 Enrollment ID: I20070209000225 |
| Provider Name | Rhonda J Sowards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326062621 PECOS PAC ID: 4880796044 Enrollment ID: I20070219000826 |
| Provider Name | Peter John Sharis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275512154 PECOS PAC ID: 6305859554 Enrollment ID: I20070226000801 |
| Provider Name | Michael J Gimbel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871687087 PECOS PAC ID: 0547360927 Enrollment ID: I20070726000361 |
| Provider Name | Nicole F Mancha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467670059 PECOS PAC ID: 3072614353 Enrollment ID: I20070731000460 |
| Provider Name | Eric D Mohr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477647469 PECOS PAC ID: 3779580402 Enrollment ID: I20071116000233 |
| Provider Name | Christine S Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548301039 PECOS PAC ID: 6709955602 Enrollment ID: I20080519000419 |
| Provider Name | Matthew J Mckay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262308 PECOS PAC ID: 1153329453 Enrollment ID: I20080715000074 |
| Provider Name | Naomi S Whalen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912104167 PECOS PAC ID: 7214073782 Enrollment ID: I20091014000286 |
| Provider Name | Stanley J Mathew |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003053653 PECOS PAC ID: 5193874584 Enrollment ID: I20091214000184 |
| Provider Name | Daniel T Wing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205034410 PECOS PAC ID: 6901933563 Enrollment ID: I20100430000039 |
| Provider Name | Nathaniel D Curl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437328630 PECOS PAC ID: 6305976630 Enrollment ID: I20100614000503 |
| Provider Name | Thomas R Staley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174750855 PECOS PAC ID: 3971790775 Enrollment ID: I20101206000930 |
| Provider Name | Megan K Varcho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053613000 PECOS PAC ID: 9133317308 Enrollment ID: I20110103000969 |
| Provider Name | Linda A Jager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184917981 PECOS PAC ID: 4082883582 Enrollment ID: I20110817000312 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619195534 PECOS PAC ID: 6800068875 Enrollment ID: I20111017000711 |
| Provider Name | Abbey G Matzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134403637 PECOS PAC ID: 4789857509 Enrollment ID: I20111024000062 |
| Provider Name | Matthew D Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174782916 PECOS PAC ID: 1153597661 Enrollment ID: I20120105000205 |
| Provider Name | Brian D Lindsay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508008566 PECOS PAC ID: 5294902821 Enrollment ID: I20120121000124 |
| Provider Name | John Blamoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053490177 PECOS PAC ID: 6406950872 Enrollment ID: I20120416000094 |
| Provider Name | Sara Elizabeth Burnham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801022694 PECOS PAC ID: 2466616438 Enrollment ID: I20120605000055 |
| Provider Name | Carla J Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891788618 PECOS PAC ID: 0042292039 Enrollment ID: I20121102000089 |
| Provider Name | Nathaniel T Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870778 PECOS PAC ID: 1850542697 Enrollment ID: I20121103000148 |
| Provider Name | Meredith L Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619228392 PECOS PAC ID: 5890946347 Enrollment ID: I20121110000205 |
| Provider Name | Emily M Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093064818 PECOS PAC ID: 2668624131 Enrollment ID: I20121207000192 |
| Provider Name | William Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780663468 PECOS PAC ID: 5193625333 Enrollment ID: I20130125000465 |
| Provider Name | Branden J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700160959 PECOS PAC ID: 3173765591 Enrollment ID: I20130815000151 |
| Provider Name | Naveen R Kanathur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326043514 PECOS PAC ID: 9436131638 Enrollment ID: I20131106001441 |
| Provider Name | Matthew Robert Wilber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114904257 PECOS PAC ID: 4880584598 Enrollment ID: I20131108000729 |
| Provider Name | Thomas D Ade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568448884 PECOS PAC ID: 9830196781 Enrollment ID: I20140306002152 |
| Provider Name | Elizabeth A Schupp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972558567 PECOS PAC ID: 7618912007 Enrollment ID: I20140521000222 |
| Provider Name | Emily R Knoble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982997854 PECOS PAC ID: 1557588563 Enrollment ID: I20140815000894 |
| Provider Name | Elena E Bethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871921429 PECOS PAC ID: 6608002209 Enrollment ID: I20141003001326 |
| Provider Name | Mohammad Sajed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396785127 PECOS PAC ID: 3577567528 Enrollment ID: I20141216001517 |
| Provider Name | Lawrence W Curtiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598188617 PECOS PAC ID: 8729211834 Enrollment ID: I20141231000171 |
| Provider Name | Toyosi T Olutade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417111311 PECOS PAC ID: 2466622113 Enrollment ID: I20150108001263 |
| Provider Name | Jacqueline Kitchen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700144813 PECOS PAC ID: 4587805924 Enrollment ID: I20150421000365 |
| Provider Name | Richelle Roethler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785859 PECOS PAC ID: 9830418862 Enrollment ID: I20150424001088 |
| Provider Name | Brandon C Whalen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821356015 PECOS PAC ID: 8729226584 Enrollment ID: I20150727001843 |
| Provider Name | Darcie M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006272 PECOS PAC ID: 9638483332 Enrollment ID: I20150812007428 |
| Provider Name | Beth M Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356724405 PECOS PAC ID: 4981919065 Enrollment ID: I20150819006398 |
| Provider Name | Christina M Shimak Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285998088 PECOS PAC ID: 7214258391 Enrollment ID: I20150824000959 |
| Provider Name | Dianne Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720259427 PECOS PAC ID: 7911975693 Enrollment ID: I20150928001497 |
| Provider Name | Param P Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275732133 PECOS PAC ID: 7911149752 Enrollment ID: I20151209001435 |
| Provider Name | Michael S Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124310172 PECOS PAC ID: 9335365642 Enrollment ID: I20160209001402 |
| Provider Name | Katherine A Zerull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639426455 PECOS PAC ID: 0042509481 Enrollment ID: I20160525000946 |
| Provider Name | Scott M Schepker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538266317 PECOS PAC ID: 4789692492 Enrollment ID: I20160610000806 |
| Provider Name | Phanicharan Aditya Sistla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720427453 PECOS PAC ID: 9931408234 Enrollment ID: I20160715001136 |
| Provider Name | Michael D Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225216997 PECOS PAC ID: 7618010950 Enrollment ID: I20160721001199 |
| Provider Name | Srikanth Reddy Kasula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497080709 PECOS PAC ID: 9537453725 Enrollment ID: I20160811000043 |
| Provider Name | Janice M Nicklay Catalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548321953 PECOS PAC ID: 2961436944 Enrollment ID: I20160822001459 |
| Provider Name | Lindsay A Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239449 PECOS PAC ID: 7113214073 Enrollment ID: I20160921001803 |
| Provider Name | Yuhning Hu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457515314 PECOS PAC ID: 6507007564 Enrollment ID: I20160930000265 |
| Provider Name | Rajiv Mallik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285806935 PECOS PAC ID: 3274694526 Enrollment ID: I20161109002046 |
| Provider Name | Tara L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194261479 PECOS PAC ID: 5597049379 Enrollment ID: I20170222000997 |
| Provider Name | Shelly S Vroman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467992974 PECOS PAC ID: 7315223203 Enrollment ID: I20170406003050 |
| Provider Name | Terry J Stambaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417317066 PECOS PAC ID: 2769776988 Enrollment ID: I20170504002426 |
| Provider Name | Kimberly N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470028 PECOS PAC ID: 8022305572 Enrollment ID: I20170615001146 |
| Provider Name | Erica L Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909549 PECOS PAC ID: 5799064721 Enrollment ID: I20170622002203 |
| Provider Name | Dana Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982124566 PECOS PAC ID: 6507136884 Enrollment ID: I20170719001538 |
| Provider Name | Lynn A Uzelac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578319 PECOS PAC ID: 5092085795 Enrollment ID: I20170727002312 |
| Provider Name | Catherine M Marty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185631 PECOS PAC ID: 4486926581 Enrollment ID: I20170824001893 |
| Provider Name | Laurie J Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497276505 PECOS PAC ID: 1759654676 Enrollment ID: I20170829000620 |
| Provider Name | Denee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174055966 PECOS PAC ID: 8628341468 Enrollment ID: I20171005003460 |
| Provider Name | Sydnee Jean Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548779291 PECOS PAC ID: 7517223258 Enrollment ID: I20171113001313 |
| Provider Name | Brian J Anseeuw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568476117 PECOS PAC ID: 5294795688 Enrollment ID: I20171115003712 |
| Provider Name | William P Liebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841744646 PECOS PAC ID: 8325308794 Enrollment ID: I20180202000542 |
| Provider Name | Maygan M Klug |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942739925 PECOS PAC ID: 2567722507 Enrollment ID: I20180212002104 |
| Provider Name | Heather L Hogbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205386356 PECOS PAC ID: 9234494782 Enrollment ID: I20180604001273 |
| Provider Name | Mi Y Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407274293 PECOS PAC ID: 4981994852 Enrollment ID: I20181114000916 |
| Provider Name | Julie Lynn Voelker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083876395 PECOS PAC ID: 2466689401 Enrollment ID: I20181219001692 |
| Provider Name | Alysa Sue Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235588708 PECOS PAC ID: 3678865029 Enrollment ID: I20181228001306 |
| Provider Name | Nicholas A Wilczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124405972 PECOS PAC ID: 6406144997 Enrollment ID: I20190501002459 |
| Provider Name | Dara Ann Wilczynski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891180154 PECOS PAC ID: 0446551667 Enrollment ID: I20190815000056 |
| Provider Name | Nathan J Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811301674 PECOS PAC ID: 3173749058 Enrollment ID: I20191007003688 |
| Provider Name | Kimberly M Hagarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467802157 PECOS PAC ID: 1456643899 Enrollment ID: I20191017001706 |
| Provider Name | Kevin M Dischert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922323047 PECOS PAC ID: 6709188287 Enrollment ID: I20191223000590 |
| Provider Name | Krista L Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316598493 PECOS PAC ID: 9739513318 Enrollment ID: I20200108000078 |
| Provider Name | Michelle Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571445 PECOS PAC ID: 4385073808 Enrollment ID: I20200405000349 |
| Provider Name | Hela Kotob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831500230 PECOS PAC ID: 9436427580 Enrollment ID: I20200408003969 |
| Provider Name | Kristyn A Raya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063047371 PECOS PAC ID: 9032535117 Enrollment ID: I20200819003616 |
| Provider Name | Doyle P Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780292425 PECOS PAC ID: 3971921222 Enrollment ID: I20200917002788 |
| Provider Name | Michael R Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245865104 PECOS PAC ID: 5890114268 Enrollment ID: I20201005000742 |
| Provider Name | Anna Gisela Press |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831724137 PECOS PAC ID: 4880006014 Enrollment ID: I20201214000136 |
| Provider Name | Mohammad A Kotob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538726617 PECOS PAC ID: 4284969395 Enrollment ID: I20210603000841 |
| Provider Name | Zachary Dennis Rasmussen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023512795 PECOS PAC ID: 7810397643 Enrollment ID: I20210615002724 |
| Provider Name | Zean Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871090670 PECOS PAC ID: 1052717592 Enrollment ID: I20210908001678 |
| Provider Name | Ira H Lubkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548329923 PECOS PAC ID: 6800794744 Enrollment ID: I20210922001526 |
| Provider Name | Kristen Marie Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689246134 PECOS PAC ID: 9537557996 Enrollment ID: I20211104000657 |
| Provider Name | Brooke A Dugdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184115495 PECOS PAC ID: 6406103886 Enrollment ID: I20211123001878 |
| Provider Name | Mathieu Levesque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639833601 PECOS PAC ID: 4385037035 Enrollment ID: I20220202000944 |
| Provider Name | Shannon Marie Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780264077 PECOS PAC ID: 6507250362 Enrollment ID: I20220222001074 |
| Provider Name | Erika Lynn O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255904322 PECOS PAC ID: 5193119170 Enrollment ID: I20220309000278 |
| Provider Name | Erin Marie Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750873626 PECOS PAC ID: 6305193780 Enrollment ID: I20220517002422 |
| Provider Name | Abdur Rahman Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053727776 PECOS PAC ID: 2961751714 Enrollment ID: I20220622000433 |
| Provider Name | Amit Bahia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326010190 PECOS PAC ID: 0941234363 Enrollment ID: I20220706000367 |
| Provider Name | Evan Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679513733 PECOS PAC ID: 7416932132 Enrollment ID: I20220912003412 |
| Provider Name | Waqas J Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20221004000599 |
| Provider Name | Farhan Shahab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114549417 PECOS PAC ID: 2961825880 Enrollment ID: I20221101001473 |
| Provider Name | David Bentley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750796660 PECOS PAC ID: 7911275698 Enrollment ID: I20221130001452 |
| Provider Name | Bhanu Vakkalanka |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578766796 PECOS PAC ID: 3072705789 Enrollment ID: I20221201000141 |
| Provider Name | Amy T Kenworthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346335254 PECOS PAC ID: 7012997109 Enrollment ID: I20221201000628 |
| Provider Name | Melinda Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201791 PECOS PAC ID: 3375865702 Enrollment ID: I20230202002802 |
| Provider Name | Mark J Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539467 PECOS PAC ID: 0244457935 Enrollment ID: I20230221000735 |
| Provider Name | Christopher Hinh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295229946 PECOS PAC ID: 9032514096 Enrollment ID: I20230404000904 |
| Provider Name | Amanda M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457970030 PECOS PAC ID: 4981022597 Enrollment ID: I20230521000055 |
| Provider Name | Andrew Friederich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902425788 PECOS PAC ID: 4981022423 Enrollment ID: I20231113002686 |
| Provider Name | Brooke Alexis Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508649153 PECOS PAC ID: 2163879982 Enrollment ID: I20231117002702 |
Dwyer-elias Counseling And Therapy, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1800 3rd Ave, Suite 516, Rock Island, IL 61201 Phone: 309-788-1050 | |
Catholic Charities Dop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9581 | |
The Robert Young Center For Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 3rd Ave, Rock Island, IL 61201 Phone: 309-779-2094 Fax: 309-779-2027 | |
Transitions Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 19th St, Rock Island, IL 61201 Phone: 309-793-4993 Fax: 309-793-9053 | |
The Robert Young Center For Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3001 Fax: 309-779-5222 | |
James A M Sales Md Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2508 25th St, Rock Island, IL 61201 Phone: 309-786-0600 Fax: 309-786-8352 |