IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC (NPI# 1093763302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093763302 |
| Entity Type | Organization |
| Organization Name | IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1401 E State St Rockford IL 61104-2315 |
| Mailing Address |
Po Box 80274 Philadelphia PA 19101-1274 |
| Practice Telephone | 4142906718 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906718 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WEA | 130009490 | 01 |
| IL | FEDERAL BLACK LUNG PROGRA | 204472 | 01 |
| WI | 21278000 | 05 | |
| FL | 913948600 | 05 | |
| IL | OWCP | 125363600 | 01 |
| IL | MEDICARE RAILROAD | DA2648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254179 | Ihc-swedishamerican Emergency Physicians, LLC | Physician Assistant | 1625 S State St, Belvidere, IL 61008-5907 | 2017-02-22 |
| Street Address |
1401 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899196 | Thomas Danko | Pediatrics | 1401 E State St, Rockford, IL 61104-2315 | 2005-11-22 |
| 1184232621 | Sound Physicians Emergency Medicine of Illinois LLC | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-07-21 |
| 1235764556 | Alexandra Paganis | Nurse Practitioner | 1401 E State St, Rockford, IL 61104-2315 | 2020-03-06 |
| 1538790266 | Sherri L Paprocki | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-01-31 |
| 1417593310 | Jason C Hipe | Registered Nurse | 1401 E State St, Rockford, IL 61104-2315 | 2019-11-26 |
| 1487298642 | Matthew Montgomery | Physical Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-31 |
| 1265076541 | Sarah Kemp | Occupational Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2019-10-30 |
| 1891341939 | Swedishamerican Hospital | Pharmacy | 1401 E State St, Rockford, IL 61104-2315 | 2019-08-14 |
| 1306408885 | Jonathan Ray Nelson | Physical Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
| 1124680608 | Kirsten Sympson | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518128255 | Virginia Ann Stoll-tyrrell | Emergency Medicine | 1401 East State Street, Rockford, IL 61104-2315 | 2008-06-24 |
| 1871621144 | Robert Charles Porter | Emergency Medicine | 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 | 2007-03-01 |
| 1205890605 | Daniel B Cunningham | Emergency Medicine | 4685 Belding Rd Ne, Rockford, MI 49341-9605 | 2006-04-13 |
| 1043280811 | Christopher M. Nielsen | Emergency Medicine | 5666 East State Street, Rockford, IL 61108-2425 | 2006-01-25 |
| 1326037029 | Pervaz M. Choudry | Emergency Medicine | 5266 Thornberry Dr, Rockford, IL 61114-6395 | 2005-10-17 |
| 1184232621 | Sound Physicians Emergency Medicine of Illinois LLC | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-07-21 |
| 1538790266 | Sherri L Paprocki | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2020-01-31 |
| 1891223285 | Kathryn R Johns | Emergency Medicine | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2017-05-30 |
| 1639602543 | Muhammad Muaz Shareef | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2017-04-07 |
| 1710341987 | Sonia Khan | Emergency Medicine | 1401 E State St, Rockford, IL 61104-2315 | 2016-04-13 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.