Theodore H Schock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-096167 Issued in IL

Practice address

657 S Mulford Rd
Rockford, IL 61108-2533

Phone

(815) 229-9900

Fax

(815) 229-9953

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bariatric Institute of Greater Chicago, LTD

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1821254855
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1508882457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082533",
            "telephone_number": "815-229-9900",
            "fax_number": "815-229-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082533",
            "telephone_number": "815-229-9900",
            "fax_number": "815-229-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCK",
        "first_name": "THEODORE",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-096167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Charles Schmidt, D.D.S
• Mark John Schneider, MD
• Steven L Schneider, MD
• William Richard Schneider, D.O.
• Caitlin Marie Schober, DPT
• Meghan Marie Schoenecker, DPT
• John Joseph Schoenwald, MD
• Emmalie Mae Schoonover
• Yvonne Schoonover, APN
• Emily C Schrader, OT

• Family Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.