KERRY PANOZZO MD PC NPI 1265411987

NPI Information

  • NPI: 1265411987
  • Provider Name: KERRY PANOZZO MD PC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 4110 BLACKHAWK RD STE 2
    SUITE #2
    ROCK ISLAND, IL
    ZIP 61201
  • Phone: (309) 428-7055

Map and Directions

Get Directions

NPI Details

KERRY PANOZZO MD PC 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 PANOZZO MD PC NPI is 1265411987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Kerry P Panozzo .
The authorized official title is President and has the following contact phone number (309) 762-9711.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 6/10/2015.

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
1467770MEDICARE PINILLINOIS
20535666MEDICAIDIOWA
31535666MEDICAIDIOWA
4I9903MEDICARE PINIOWA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI