KERRY P PANOZZO MD NPI 1225017957

NPI Information

  • NPI: 1225017957
  • Provider Name: KERRY P PANOZZO, MD
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4110 BLACKHAWK RD STE 2
    ROCK ISLAND, IL
    ZIP 61201
  • Phone: (309) 428-7055

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NPI Details

Kerry P Panozzo, MD is a pain medicine anesthesiology in Rock Island, IL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Kerry P Panozzo, MD NPI is 1225017957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4110 BLACKHAWK RD STE 2
ROCK ISLAND, IL
ZIP 61201-039
Phone: (309) 428-7055
Fax: (309) 265-0118

The NPI 1225017957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology036090677ILLINOISNo
2207LP2900XAnesthesiologyPain Medicine036090677ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G54845MEDICARE UPINILLINOIS
2036090677MEDICAIDILLINOIS
3467770MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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