Physician Associates Limited

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYSICIAN ASSOCIATES LIMITED

Doing business as

D/B/A Cherry Valley Medical Clinic

Practice address

1848 Daimler Rd
Rockford, IL 61112-1019

Phone

(815) 229-2500

Fax

(815) 398-9587

NPI assigned

Jul 26, 2006

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas L Michalsen, D.O.NPI 1114947876

Title

President

Phone

(815) 229-2500

Specialties & licenses 2

Addresses

Other names 1

• D/B/A Cherry Valley Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas L. Michalsen, D.O.

  • General Practice Physician
  • Kirkland, IL
  • NPI 1114947876
  Medicare reassignment NPD Authorized official
• Cathy Carlson, PHD, FNP-BC

  • Family Nurse Practitioner
  • Kirkland, IL
  • NPI 1225431653
  Medicare reassignment NPD
• Gina Fernando

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
  • NPI 1750907861
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1013930353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121019",
            "telephone_number": "815-229-2500",
            "fax_number": "815-316-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121019",
            "telephone_number": "815-229-2500",
            "fax_number": "815-398-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MICHALSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-229-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Cherry Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Marie Phelps, O.D.
• Ashley Phillips, LCSW
• Phoenix Counseling and Recovery LLC
• Phoenix Medical Practice Corporation S C
• Sirivanh Phomvansi Gamez, P.T.
• Physicians Care Network, Inc.
• Physicians Immediate Care LTD
• Stephen William Pichler, M.D.
• Julie Ann Pick, MA CCC SLP
• Lucy Pickerill, OT

• General Practice Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.