Active NPI
Anthony Hill Kwan, MD
- Physical Medicine & Rehabilitation Physician
- Rock Island, IL
National Provider Identifier
1801860861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036094456
- Practice address
- 2570 24TH St
Ste124
Rock Island, IL 61201-5394 - Phone
- (309) 779-3670
- Fax
- (309) 779-3675
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036094456 | IL | Primary |
Addresses
Primary practice location
2570 24TH St
Ste124
Rock Island, IL 61201-5394
Mailing address
2570 24TH St
Ste124
Rock Island, IL 61201-5394
Phone (309) 779-3670
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96232 | Other | BCWELLMARK | |
| 036094456001 | Medicaid | IL | |
| 036094456 | Other | BCILLINOIS | |
| 4057E3 | Other | JOHN DEERE | |
| 362739299030 | Other | TRICARE | |
| 1801860861 | Medicaid | IA | |
| P00053774 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094456 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1801860861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 24TH ST",
"address_2": "STE124",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015394",
"telephone_number": "309-779-3670",
"fax_number": "309-779-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 24TH ST",
"address_2": "STE124",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015394",
"telephone_number": "309-779-3670",
"fax_number": "309-779-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "ANTHONY",
"middle_name": "HILL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036094456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCWELLMARK",
"identifier": "96232",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094456001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCILLINOIS",
"identifier": "036094456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "4057E3",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "362739299030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801860861",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00053774",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.