Rockford Pain Management LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ROCKFORD PAIN MANAGEMENT LTD

Practice address

6451 E Riverside Blvd
Suite 101
Rockford, IL 61114-4421

Phone

(815) 639-1090

Fax

(815) 639-9860

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd Cevene, DCNPI 1477555928

Title

Owner

Phone

(815) 639-1090

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Richard Cevene, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1477555928
  NPD (past) Authorized official
• Jason Yeekwong Hui, DC, NMD

  • Rehabilitation Chiropractor
  • Buffalo Grove, IL
  • NPI 1841362829
  NPD (past)
• Peter K Park, MD

  • Physical Medicine & Rehabilitation Physician
  • Rockford, IL
  • NPI 1952359887
  NPD (past)
• Mark Hedberg, PT

  • Physical Therapist
  • Noblesville, IN
  • NPI 1740208560
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1174885107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-1090",
            "fax_number": "815-639-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-1090",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD PAIN MANAGEMENT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "CEVENE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-639-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockford Orthopedic Appliance Co
• Rockford Orthopedic Associates, LTD.
• Rockford Orthopedic Associates, LTD. Dba Orthoillinois Anesthesia
• Rockford Orthopedic Surgery Center, LLC
• Rockford Pain Center LTD
• Rockford Pediatric Dentistry
• Rockford Pediatric Pulmonology, LTD.
• Rockford Psychiatric Medical Services SC
• Rockford Psychiatric Medical Services, S.C.
• Rockford Public Schools

• 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 Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.