| Trinity Medical Center | |
|
2701 17th St Rock Island IL 61201-5351 | |
| (309) 779-5000 | |
| Not Available |
| Full Name | Trinity Medical Center |
|---|---|
| Speciality | Emergency Medicine |
| Location | 2701 17th St, Rock Island, Illinois |
| Authorized Official Name and Position | Florence L Spyrow (LEGAL COUNSEL) |
| Authorized Official Contact | 3097792219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Center 2701 17th St Rock Island IL 61201-5351 Ph: (309) 779-5000 | Trinity Medical Center 2701 17th St Rock Island IL 61201-5351 Ph: (309) 779-5000 |
| NPI Number | 1568414134 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 2264337518 |
|---|---|
| Medicare Enrollment ID | O20031203000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568414134 | NPI | - | NPPES |
| 8115303 | Other | BCILLINOIS GROUP | |
| 91433 | Other | BCWELLMARK E MOLINE | |
| 91471 | Other | BCWELLMARK 7TH STREET | |
| CK7064 | Other | IA | RR MEDICARE GROUP |
| 95149 | Other | BCWELLMARK EKG GROUP | |
| CH3653 | Other | IL | RR MEDICARE GROUP |
| 92323 | Other | BCWELLMARK WEST | |
| 97622 | Other | BCWELLMARK MOLINE | |
| 0219253 | Medicaid | IA |
| Provider Name | Sanjeev H Puri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023097839 PECOS PAC ID: 2769387505 Enrollment ID: I20031204000457 |
| Provider Name | Michael J Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285668772 PECOS PAC ID: 0244139897 Enrollment ID: I20040102000739 |
| Provider Name | Rafat F Padaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497734388 PECOS PAC ID: 7911809488 Enrollment ID: I20040123001056 |
| Provider Name | Thomas F Ramstack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710950712 PECOS PAC ID: 1759378383 Enrollment ID: I20040427000677 |
| Provider Name | Roxanne M Nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235122060 PECOS PAC ID: 3577545565 Enrollment ID: I20040603000534 |
| Provider Name | Carla J Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891788618 PECOS PAC ID: 0042292039 Enrollment ID: I20040603000596 |
| Provider Name | Michael F Miniter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780663500 PECOS PAC ID: 7113914763 Enrollment ID: I20040623000585 |
| Provider Name | James Anthony M Sales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902885569 PECOS PAC ID: 2860468022 Enrollment ID: I20040908001476 |
| Provider Name | Brian J Anseeuw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568476117 PECOS PAC ID: 5294795688 Enrollment ID: I20041011000470 |
| Provider Name | Sora H Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285613901 PECOS PAC ID: 3274526645 Enrollment ID: I20041206000367 |
| Provider Name | Aswartha R Pothula |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497734396 PECOS PAC ID: 5698739985 Enrollment ID: I20041206000419 |
| Provider Name | Faraz M Manazir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104805092 PECOS PAC ID: 6901860246 Enrollment ID: I20041206000452 |
| Provider Name | Bouyella H Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043299746 PECOS PAC ID: 2466445838 Enrollment ID: I20041206000474 |
| Provider Name | Helbert V Acosta |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477532281 PECOS PAC ID: 1254395668 Enrollment ID: I20041206000507 |
| Provider Name | Nyambi Ebie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548234883 PECOS PAC ID: 5294787677 Enrollment ID: I20050324000490 |
| Provider Name | Michael T Barr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588639926 PECOS PAC ID: 8729026430 Enrollment ID: I20050422000630 |
| Provider Name | Elizabeth A Schupp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972558567 PECOS PAC ID: 7618912007 Enrollment ID: I20050627000382 |
| Provider Name | Costas L Constantinou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518970748 PECOS PAC ID: 5890750301 Enrollment ID: I20060125000969 |
| Provider Name | Scott M Schepker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538266317 PECOS PAC ID: 4789692492 Enrollment ID: I20060322000314 |
| Provider Name | Peter John Sharis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275512154 PECOS PAC ID: 6305859554 Enrollment ID: I20060711000226 |
| Provider Name | Jon A Robken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750360764 PECOS PAC ID: 3476455940 Enrollment ID: I20060913000045 |
| Provider Name | Edmund P Coyne |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114906138 PECOS PAC ID: 4587566047 Enrollment ID: I20061017000544 |
| Provider Name | Eric D Mohr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477647469 PECOS PAC ID: 3779580402 Enrollment ID: I20061023000191 |
| Provider Name | William J Witcik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619956547 PECOS PAC ID: 5294637765 Enrollment ID: I20061025000570 |
| Provider Name | Leonard Keeven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347035 PECOS PAC ID: 0941207252 Enrollment ID: I20061031000109 |
| Provider Name | Thomas D Ade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568448884 PECOS PAC ID: 9830196781 Enrollment ID: I20061107000140 |
| Provider Name | David T Ade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972589042 PECOS PAC ID: 3274530159 Enrollment ID: I20061107000448 |
| Provider Name | Blair W Foreman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750360616 PECOS PAC ID: 9032106307 Enrollment ID: I20061205000187 |
| Provider Name | Ahmed A Khalafallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366412934 PECOS PAC ID: 6800791815 Enrollment ID: I20061205000388 |
| Provider Name | Nicolas W Shammas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922087857 PECOS PAC ID: 9931001492 Enrollment ID: I20061206000049 |
| Provider Name | Chad D Vanderlinden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578674180 PECOS PAC ID: 4789617978 Enrollment ID: I20061207000026 |
| Provider Name | Rhonda J Sowards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326062621 PECOS PAC ID: 4880796044 Enrollment ID: I20070713000441 |
| Provider Name | Mazen Abdel Hadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356468672 PECOS PAC ID: 0042310211 Enrollment ID: I20070717000595 |
| Provider Name | David Rios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184817918 PECOS PAC ID: 8921193657 Enrollment ID: I20070926000846 |
| Provider Name | Hani Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437237542 PECOS PAC ID: 9830129311 Enrollment ID: I20071022000047 |
| Provider Name | James J Pugliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346251030 PECOS PAC ID: 2466532783 Enrollment ID: I20071227000488 |
| Provider Name | Matthew Robert Wilber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114904257 PECOS PAC ID: 4880584598 Enrollment ID: I20080612000278 |
| Provider Name | Mohammad Sajed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396785127 PECOS PAC ID: 3577567528 Enrollment ID: I20080804000521 |
| Provider Name | Matthew J Mckay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262308 PECOS PAC ID: 1153329453 Enrollment ID: I20080922000577 |
| Provider Name | Gonchigari Narayana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124016902 PECOS PAC ID: 3678577350 Enrollment ID: I20090109000479 |
| Provider Name | Julie E Zude |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699821546 PECOS PAC ID: 0244385359 Enrollment ID: I20090825000652 |
| Provider Name | John C Ciaccio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932168457 PECOS PAC ID: 8426040924 Enrollment ID: I20101007000223 |
| Provider Name | Bhanu Vakkalanka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578766796 PECOS PAC ID: 3072705789 Enrollment ID: I20101012001232 |
| Provider Name | Nathaniel D Curl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437328630 PECOS PAC ID: 6305976630 Enrollment ID: I20101014000682 |
| Provider Name | Naomi S Whalen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912104167 PECOS PAC ID: 7214073782 Enrollment ID: I20101117000122 |
| Provider Name | Jeremy Irving |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578536215 PECOS PAC ID: 5890783385 Enrollment ID: I20110209000153 |
| Provider Name | Nicole F Mancha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467670059 PECOS PAC ID: 3072614353 Enrollment ID: I20110209001119 |
| Provider Name | Toyosi T Olutade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417111311 PECOS PAC ID: 2466622113 Enrollment ID: I20110907001039 |
| Provider Name | Laurel Kietzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336331222 PECOS PAC ID: 7214108273 Enrollment ID: I20110922000662 |
| Provider Name | Monica M Argumedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083872741 PECOS PAC ID: 0345413159 Enrollment ID: I20111021000556 |
| Provider Name | Abbey G Matzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134403637 PECOS PAC ID: 4789857509 Enrollment ID: I20120224000794 |
| Provider Name | Kevin W Kurth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235102567 PECOS PAC ID: 5991755324 Enrollment ID: I20120330000558 |
| Provider Name | Rajiv Mallik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285806935 PECOS PAC ID: 3274694526 Enrollment ID: I20120504000576 |
| Provider Name | Susan Klingaman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821207986 PECOS PAC ID: 7315109535 Enrollment ID: I20120504000578 |
| Provider Name | Nathaniel T Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870778 PECOS PAC ID: 1850542697 Enrollment ID: I20121103000127 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619195534 PECOS PAC ID: 6800068875 Enrollment ID: I20130118000209 |
| Provider Name | William Michael Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780663468 PECOS PAC ID: 5193625333 Enrollment ID: I20130226000255 |
| Provider Name | Sheikh Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306052345 PECOS PAC ID: 4082771456 Enrollment ID: I20130410000128 |
| Provider Name | Heather L Mccollough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992966287 PECOS PAC ID: 7911915715 Enrollment ID: I20130611000684 |
| Provider Name | Naveen R Kanathur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326043514 PECOS PAC ID: 9436131638 Enrollment ID: I20131127001502 |
| Provider Name | Elena E Bethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871921429 PECOS PAC ID: 6608002209 Enrollment ID: I20131203001080 |
| Provider Name | Julie Lynn Voelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083876395 PECOS PAC ID: 2466689401 Enrollment ID: I20131218001018 |
| Provider Name | Linda A Jager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184917981 PECOS PAC ID: 4082883582 Enrollment ID: I20140102000037 |
| Provider Name | Emily M Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093064818 PECOS PAC ID: 2668624131 Enrollment ID: I20140409002150 |
| Provider Name | Lawrence W Curtiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598188617 PECOS PAC ID: 8729211834 Enrollment ID: I20140425000166 |
| Provider Name | Evan Hirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679513733 PECOS PAC ID: 7416932132 Enrollment ID: I20140616000800 |
| Provider Name | Adel A Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134415391 PECOS PAC ID: 6507084175 Enrollment ID: I20140822000920 |
| Provider Name | Emily R Knoble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982997854 PECOS PAC ID: 1557588563 Enrollment ID: I20140912000309 |
| Provider Name | Udaya Shreesha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093762213 PECOS PAC ID: 6204866163 Enrollment ID: I20141122000036 |
| Provider Name | Melinda Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201791 PECOS PAC ID: 3375865702 Enrollment ID: I20141213000048 |
| Provider Name | Krystal L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245634963 PECOS PAC ID: 8123341633 Enrollment ID: I20150107002281 |
| Provider Name | Megan K Varcho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053613000 PECOS PAC ID: 9133317308 Enrollment ID: I20150123002214 |
| Provider Name | Richelle Roethler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785859 PECOS PAC ID: 9830418862 Enrollment ID: I20150508000657 |
| Provider Name | Param P Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275732133 PECOS PAC ID: 7911149752 Enrollment ID: I20150611000588 |
| Provider Name | Matthew D Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174782916 PECOS PAC ID: 1153597661 Enrollment ID: I20150723006791 |
| Provider Name | Brandon C Whalen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821356015 PECOS PAC ID: 8729226584 Enrollment ID: I20150727002156 |
| Provider Name | Branden J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700160959 PECOS PAC ID: 3173765591 Enrollment ID: I20150910001499 |
| Provider Name | Darcie M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184006272 PECOS PAC ID: 9638483332 Enrollment ID: I20151014000469 |
| Provider Name | Harish R Patlolla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528323870 PECOS PAC ID: 7618279811 Enrollment ID: I20160105001914 |
| Provider Name | Katherine A Zerull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639426455 PECOS PAC ID: 0042509481 Enrollment ID: I20160622001855 |
| Provider Name | Michael D Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225216997 PECOS PAC ID: 7618010950 Enrollment ID: I20160726000337 |
| Provider Name | Janice M Nicklay Catalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548321953 PECOS PAC ID: 2961436944 Enrollment ID: I20160826001257 |
| Provider Name | Lindsay A Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239449 PECOS PAC ID: 7113214073 Enrollment ID: I20160930001085 |
| Provider Name | Erica L Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909549 PECOS PAC ID: 5799064721 Enrollment ID: I20161116000188 |
| Provider Name | Srikanth Reddy Kasula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497080709 PECOS PAC ID: 9537453725 Enrollment ID: I20161215002215 |
| Provider Name | Meredith L Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619228392 PECOS PAC ID: 5890946347 Enrollment ID: I20170314001015 |
| Provider Name | Tara L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194261479 PECOS PAC ID: 5597049379 Enrollment ID: I20170425000743 |
| Provider Name | Shelly S Vroman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467992974 PECOS PAC ID: 7315223203 Enrollment ID: I20170622002995 |
| Provider Name | Dana Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982124566 PECOS PAC ID: 6507136884 Enrollment ID: I20170804000802 |
| Provider Name | Denee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174055966 PECOS PAC ID: 8628341468 Enrollment ID: I20170830001846 |
| Provider Name | Laurie J Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497276505 PECOS PAC ID: 1759654676 Enrollment ID: I20170919001737 |
| Provider Name | Catherine M Marty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185631 PECOS PAC ID: 4486926581 Enrollment ID: I20170919002144 |
| Provider Name | Lynn A Uzelac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578319 PECOS PAC ID: 5092085795 Enrollment ID: I20171009000705 |
| Provider Name | Amy T Kenworthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346335254 PECOS PAC ID: 7012997109 Enrollment ID: I20171019001611 |
| Provider Name | Kimberly N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470028 PECOS PAC ID: 8022305572 Enrollment ID: I20171027002264 |
| Provider Name | Sydnee Jean Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548779291 PECOS PAC ID: 7517223258 Enrollment ID: I20171204000556 |
| Provider Name | Mark J Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539467 PECOS PAC ID: 0244457935 Enrollment ID: I20171206001305 |
| Provider Name | William P Liebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841744646 PECOS PAC ID: 8325308794 Enrollment ID: I20180214000004 |
| Provider Name | Robert H Sorensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447215702 PECOS PAC ID: 9032121793 Enrollment ID: I20180327001337 |
| Provider Name | Thomas R Staley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174750855 PECOS PAC ID: 3971790775 Enrollment ID: I20180411000191 |
| Provider Name | Heather L Hogbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205386356 PECOS PAC ID: 9234494782 Enrollment ID: I20180621001295 |
| Provider Name | Christina M Shimak Morton |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285998088 PECOS PAC ID: 7214258391 Enrollment ID: I20180821003282 |
| Provider Name | Nicholas A Wilczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124405972 PECOS PAC ID: 6406144997 Enrollment ID: I20180910002750 |
| Provider Name | Mi Y Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407274293 PECOS PAC ID: 4981994852 Enrollment ID: I20181211001452 |
| Provider Name | Birju Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699018317 PECOS PAC ID: 1557608338 Enrollment ID: I20190218001452 |
| Provider Name | Ahmed Z Elmaadawi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114189305 PECOS PAC ID: 3678744240 Enrollment ID: I20190510001251 |
| Provider Name | Megan E Pikuza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083065411 PECOS PAC ID: 3375870504 Enrollment ID: I20190812001820 |
| Provider Name | Dara Ann Wilczynski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891180154 PECOS PAC ID: 0446551667 Enrollment ID: I20190816001998 |
| Provider Name | Nathan J Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811301674 PECOS PAC ID: 3173749058 Enrollment ID: I20191107002905 |
| Provider Name | Daniel T Wing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205034410 PECOS PAC ID: 6901933563 Enrollment ID: I20191119000205 |
| Provider Name | Kevin M Dischert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922323047 PECOS PAC ID: 6709188287 Enrollment ID: I20191204001019 |
| Provider Name | Krista L Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316598493 PECOS PAC ID: 9739513318 Enrollment ID: I20200204000797 |
| Provider Name | Gloria Guillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659901106 PECOS PAC ID: 8729418850 Enrollment ID: I20200413004027 |
| Provider Name | Sara Elizabeth Burnham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801022694 PECOS PAC ID: 2466616438 Enrollment ID: I20200514001772 |
| Provider Name | Stanley J Mathew |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003053653 PECOS PAC ID: 5193874584 Enrollment ID: I20200706002734 |
| Provider Name | Kristyn A Raya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063047371 PECOS PAC ID: 9032535117 Enrollment ID: I20200908003350 |
| Provider Name | Doyle P Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780292425 PECOS PAC ID: 3971921222 Enrollment ID: I20201019002020 |
| Provider Name | Michael R Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245865104 PECOS PAC ID: 5890114268 Enrollment ID: I20201104000563 |
| Provider Name | Kimberly M Hagarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467802157 PECOS PAC ID: 1456643899 Enrollment ID: I20201229001303 |
| Provider Name | Anna Gisela Press |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831724137 PECOS PAC ID: 4880006014 Enrollment ID: I20210111003045 |
| Provider Name | Penny Ann Liebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205436052 PECOS PAC ID: 9335553155 Enrollment ID: I20210205001024 |
| Provider Name | Michelle Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571445 PECOS PAC ID: 4385073808 Enrollment ID: I20210317002505 |
| Provider Name | John Blamoun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053490177 PECOS PAC ID: 6406950872 Enrollment ID: I20210413000111 |
| Provider Name | Kendra Renner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427529072 PECOS PAC ID: 8729497201 Enrollment ID: I20210513001156 |
| Provider Name | Zachary Dennis Rasmussen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023512795 PECOS PAC ID: 7810397643 Enrollment ID: I20210622000623 |
| Provider Name | Alysa S Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235588708 PECOS PAC ID: 3678865029 Enrollment ID: I20210826003723 |
| Provider Name | Mathieu Levesque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639833601 PECOS PAC ID: 4385037035 Enrollment ID: I20220204000410 |
| Provider Name | Shannon Marie Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780264077 PECOS PAC ID: 6507250362 Enrollment ID: I20220301000884 |
| Provider Name | Erika Lynn O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255904322 PECOS PAC ID: 5193119170 Enrollment ID: I20220315001650 |
| Provider Name | Jamsheed H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578850277 PECOS PAC ID: 6002133261 Enrollment ID: I20220614001555 |
| Provider Name | Jacqueline Kitchen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700144813 PECOS PAC ID: 4587805924 Enrollment ID: I20220707002568 |
| Provider Name | David Bentley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750796660 PECOS PAC ID: 7911275698 Enrollment ID: I20221207000859 |
| Provider Name | Amit Bahia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326010190 PECOS PAC ID: 0941234363 Enrollment ID: I20221230001065 |
| Provider Name | Amanda M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457970030 PECOS PAC ID: 4981022597 Enrollment ID: I20230105000541 |
| Provider Name | Breeanna Stegall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285372375 PECOS PAC ID: 3476923277 Enrollment ID: I20230111001881 |
| Provider Name | Waqas J Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20230112002915 |
| Provider Name | Randall Millikan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942391719 PECOS PAC ID: 5294929378 Enrollment ID: I20230221002419 |
| Provider Name | Abdur Rahman Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053727776 PECOS PAC ID: 2961751714 Enrollment ID: I20230302002813 |
| Provider Name | Andrew Friederich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902425788 PECOS PAC ID: 4981022423 Enrollment ID: I20230303001182 |
| Provider Name | Paul Oneill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548262611 PECOS PAC ID: 1456430891 Enrollment ID: I20230411002185 |
| Provider Name | Gretchen Yungen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801509898 PECOS PAC ID: 6507225000 Enrollment ID: I20230630001687 |
| Provider Name | Amanda Pease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124799481 PECOS PAC ID: 5294194635 Enrollment ID: I20230703003191 |
| Provider Name | Yevgeniya Foster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669817003 PECOS PAC ID: 0042508509 Enrollment ID: I20230922001859 |
| Provider Name | Christopher Hinh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295229946 PECOS PAC ID: 9032514096 Enrollment ID: I20231013000574 |
| Provider Name | Phanicharan Aditya Sistla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720427453 PECOS PAC ID: 9931408234 Enrollment ID: I20231019000602 |
| Provider Name | Erin Marie Evans-walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750873626 PECOS PAC ID: 6305193780 Enrollment ID: I20231110001961 |
| Provider Name | Brooke Alexis Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508649153 PECOS PAC ID: 2163879982 Enrollment ID: I20231115002091 |
| Provider Name | Abdul Rana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356837363 PECOS PAC ID: 1355746397 Enrollment ID: I20240702000583 |
| Provider Name | Ahmad Abu-hashyeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326525114 PECOS PAC ID: 6608128780 Enrollment ID: I20240716002724 |
| Provider Name | Megan Horne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386211472 PECOS PAC ID: 0446652440 Enrollment ID: I20241108003274 |
| Provider Name | Gursukhman Deep Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871930719 PECOS PAC ID: 2567602162 Enrollment ID: I20241210002119 |
| Provider Name | Dallas Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134773955 PECOS PAC ID: 9830639608 Enrollment ID: I20241231002290 |
| Provider Name | Michael S Hoffman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124310172 PECOS PAC ID: 9335365642 Enrollment ID: I20250106000232 |
The Robert Young Center For Community Mental Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 3rd Ave, Rock Island, IL 61201 Phone: 309-779-2094 Fax: 309-779-2819 | |
Community Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 3rd Ave, Rock Island, IL 61201 Phone: 563-336-3000 Fax: 563-336-3044 | |
River Valley Family Practice Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 24th St, Rock Island, IL 61201 Phone: 309-793-4223 Fax: 309-793-6276 | |
Golden Center For Health & Healing, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 18th St, Rock Island, IL 61201 Phone: 309-781-0805 Fax: 309-429-6471 | |
School Health Link, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 25th St, Rock Island, IL 61201 Phone: 309-732-0958 Fax: 309-732-0963 | |
Genesis Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2560 24th St, Suite 202, Rock Island, IL 61201 Phone: 309-786-3395 Fax: 309-779-3084 |