Pediatric Associates of Rockford

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF ROCKFORD

Practice address

5727 Strathmoor Dr
Suite 1
Rockford, IL 61107-5180

Phone

(815) 398-1527

Fax

(815) 398-1629

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Alan Hart, M.D.NPI 1073625208

Title

President

Phone

(815) 398-1527

Specialties & licenses 1

Addresses

Practitioners 2

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

• John Alan Hart, M.D.

  • Pediatrics Physician
  • Rockford, IL
  • NPI 1073625208
  NPD (past) Authorized official
• Patricia Mary Panzica, M.D.

  • Pediatrics Physician
  • Rockford, IL
  • NPI 1093827222
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508913971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 STRATHMOOR DR",
            "address_2": "SUITE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075180",
            "telephone_number": "815-398-1527",
            "fax_number": "815-398-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 STRATHMOOR DR",
            "address_2": "SUITE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075180",
            "telephone_number": "815-398-1527",
            "fax_number": "815-398-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF ROCKFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-398-1527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry Peck, BC-HIS
• Tracy Barrett Peck, P.T.
• Jason Andrew Peckels, M.S.ED., L.P.C.
• Prakash Pedapati
• Christine M Pedersen, MSPT
• Pediatric Cardiology Associates of Northern Illinois SC
• Pediatric Dentistry of Northern Illinois LTD
• Pediatrix Medical Group of Illinois PC
• Anastasia Peer-Drake
• Kevin J Peifer, M.D.

• Pediatrics Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.