NPIMap

Organization Active NPI

Rockford Orthopedic Associates, LTD.

  • Magnetic Resonance Imaging Radiologic Technologist
  • Rockford, IL
National Provider Identifier
1871926568
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.
Practice address
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone
(815) 381-7339
Fax
(815) 381-7333
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Melissa Bourgord, CPCS, CPMSM
Title
Manager, Medical Staff Services
Phone
(815) 381-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Mailing address

PO Box 735263
Chicago, IL 60673-5263
Phone (815) 381-7339

National Provider Directory

National Provider Directory
Tax ID family
Rockford Ortho Assoc LTD29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1871926568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263",
            "telephone_number": "815-381-7339",
            "fax_number": "815-381-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-381-7339",
            "fax_number": "815-381-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD ORTHOPEDIC ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "BOURGORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER, MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "815-381-7339",
        "authorized_official_credential": "CPCS, CPMSM"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.