Rockford Infectious Disease Consultants, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D55136114 Issued in IL

Legal business name

ROCKFORD INFECTIOUS DISEASE CONSULTANTS, S.C.

Practice address

129 Phelps Ave
Rockford, IL 61108-2453

Phone

(815) 229-2300

Fax

(815) 229-3909

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott R Homann, M.D.

Title

President

Phone

(815) 229-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gary D Rifkin, M.D.

  • Specialist
  • Rockford, IL
  • NPI 1245239284
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1326093337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082483",
            "telephone_number": "815-229-2300",
            "fax_number": "815-229-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082453",
            "telephone_number": "815-229-2300",
            "fax_number": "815-229-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD INFECTIOUS DISEASE CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HOMANN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-229-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "D55136114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER",
            "identifier": "10115123",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockford Health Physicians
• Rockford Health System
• Rockford Healthcare & Rehabilitation Center LLC
• Rockford Hospitalist Group, LLC
• Rockford Hyperbaric Healing Center, Inc
• Rockford Medical Rehabilitation SC
• Rockford Memorial Hospital
• Rockford Modern Dental LLC
• Rockford Nar, LLC
• Rockford Neuromonitoring Group LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.