James David Koepsell MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAMES DAVID KOEPSELL MD SC

Practice address

2829 Glenwood Ave
Rockford, IL 61101-3542

Phone

(815) 962-0633

Fax

(815) 962-0142

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley E Kittle-Kraus

Title

Office Manager

Phone

(815) 962-0633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James D Koepsell MD Other name

Locations

Practitioners 3

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

• Glennetta Coleman, MD

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1063449296

  Single Specialty

  NPD (past)
• Dale R Gray, M.D.

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1043252075
  NPD (past)
• Fernando G Chaves, MD

  • Pulmonary Disease Physician
  • Warren, OH
  • NPI 1285613208
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1831391424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GLENWOOD AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611013542",
            "telephone_number": "815-962-0633",
            "fax_number": "815-962-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 GLENWOOD AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611013542",
            "telephone_number": "815-962-0633",
            "fax_number": "815-962-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES DAVID KOEPSELL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "KITTLE-KRAUS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-962-0633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1831391424",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James D Koepsell MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shahina H Jafry, M.D.
• Mahendra Kumar Jain
• Amrita Jaiprakash, DO
• Aman Jalota, OD
• James Appiah Oral Maxillofacial Surgery
• James Kofoid Chiropractic, L.L.C.
• James M G Sturm DO Daba
• Ann Catherine Knutson James, MSW, LCSW
• Bernita James
• Ifeanyi James

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.