Rock Valley Advanced Pain Management Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209001050 Issued in IL

Legal business name

ROCK VALLEY ADVANCED PAIN MANAGEMENT INC.

Practice address

6550 E Riverside Blvd
Loves Park, IL 61111-4424

Phone

(815) 316-1894

Fax

(815) 633-5141

NPI assigned

Apr 2, 2008

Last updated

Nov 11, 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

Tamara L Wojciechowski, CRNA, FAAPM, APN

Title

Owner

Phone

(815) 316-1894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1245402965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114424",
            "telephone_number": "815-316-1894",
            "fax_number": "815-633-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114424",
            "telephone_number": "815-316-1894",
            "fax_number": "815-633-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK VALLEY ADVANCED PAIN MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WOJCIECHOWSKI",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-316-1894",
        "authorized_official_credential": "CRNA, FAAPM, APN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209001050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restore Counseling & Recovery, Inc.
• Marie P Richter, MD
• Jane A. Rickman, CRNA
• Riverside Dental Center
• Riverside Dental Center GPS PLLC (Riverside Dental Center)
• Rockford Anesthesiologists Associated, L.L.C.
• Rockford Anesthesiologists Associated, L.L.C.
• Rockford Dental Associates
• Rockford Eye & Laser Center LTD.
• Rockford Health Physicians (Mercyhealth Orthopedic Clinic)

• Certified Registered Nurse Anesthetist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.