Thomas a Runne DPM LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004049 Issued in IL

Legal business name

THOMAS A RUNNE DPM LTD

Practice address

1437 S Bell School Rd Ste 2
Rockford, IL 61108-1405

Phone

(815) 284-2023

NPI assigned

Oct 2, 2007

Last updated

Mar 3, 2009By 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

Tina Bombard

Title

Billing Director

Phone

(630) 897-6851

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• James J Dukelow, DPM

  • Podiatrist
  • Dixon, IL
  • NPI 1336136944
  NPD (past)
• Tabia Earl, PT

  • Physical Therapist
  • Naperville, IL
  • NPI 1427089739
  NPD (past)
• Steve Yeschek, LCSW

  • Clinical Social Worker
  • Cary, IL
  • NPI 1457412439
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1235326455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W DOWNER PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S BELL SCHOOL RD STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081405",
            "telephone_number": "815-284-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A RUNNE DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "BOMBARD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "630-897-6851"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "914510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG7104",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060101287",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annelise Thifault
• Jennifer Thilges, APRN
• Thinfast MD Rockford
• David T Thom, DPM
• Sylvia Thoman, O.D.
• Thomas B. Dudgeon, PH.D., PC
• Anita Ann Thomas Bua, LCPC,LPC
• Thomas H. Moore D.D.S. LTD
• Thomas H. Moore DDS LTD
• Amanda Sharrell Thomas-Leindecker, APN-CRNA

• Podiatrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.