SWEDISHAMERICAN HOSPITAL (NPI# 1225199961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225199961 |
| Entity Type | Organization |
| Organization Name | SWEDISHAMERICAN HOSPITAL |
| Other Organization Name | SA BYRON CLINIC |
| Practice Address |
230 W Blackhawk Dr Byron IL 61010 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796961300 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | DON DANIELS (VP) |
| Authorized Official Telephone | 8159662084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLIA | 14D0429563 | 01 |
| Other Name | Type Code |
|---|---|
| SA Byron Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1114470945 | Swedishamerican Hospital | Pediatrics | 461 N Mulford Rd Ste 4, Rockford, IL 61107-5165 | 2016-07-28 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1285720763 | Swedishamerican Hospital | Durable Medical Equipment & Medical Supplies | 2550 Charles St Ste A, Rockford, IL 61108-1673 | 2006-10-04 |
| 1962451732 | Swedishamerican Hospital | Pediatrics | 2550 Charles St, Rockford, IL 61108 | 2006-05-09 |
| 1699309013 | Swedishamerican Hospital | Family Medicine | 1625 S State St, Belvidere, IL 61008-5907 | 2020-02-25 |
| Street Address |
230 W BLACKHAWK DR |
| City | BYRON |
| State | IL |
| Zip Code | 61010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687425 | Rachel Hansen | Family Medicine | 230 W Blackhawk Dr, Byron, IL 61010-8988 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303377 | Emily A Hussey | Speech-Language Pathologist | 1214 Glacier Dr, Byron, IL 61010 | 2017-08-24 |
| 1386084259 | Joseph Carr Kimbell | Family Medicine | 230 W. Blackhawk Blvd., Byron, IL 61010 | 2013-06-25 |
| 1578893723 | Kelly Ann Rogers | Physical Therapy Assistant | 404 West Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2010-01-12 |
| 1891842464 | Susan M Penner | Optometrist | 134 E Blackhawk Dr, Byron, IL 61010 | 2007-01-04 |
| 1912012808 | Jonathan S Link | Physical Therapist | 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2006-08-20 |
| 1821011297 | Byron Fire Protection District | Ambulance | 123 N Franklin St, Byron, IL 61010 | 2006-07-25 |
| 1386856490 | Emily Rogers | Family Medicine | 220 W Blackhawk Dr, Byron, IL 61010 | 2007-05-03 |
| 1568557189 | Bridget L Johnson | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-10-03 |
| 1659463834 | Angela Pfeiffer | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-09-28 |
| 1891754776 | Drew Alan Fitzanko | Physical Therapist | 209 N. Union St., Byron, IL 61010-0600 | 2006-03-21 |
| Find all providers in zip 61010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386084259 | Joseph Carr Kimbell | Family Medicine | 230 W. Blackhawk Blvd., Byron, IL 61010 | 2013-06-25 |
| 1679911762 | Gorby Leon | Family Medicine | 1960 Hwy 247 Connector Ste A, Byron, GA 31008-5663 | 2013-06-11 |
| 1013149889 | Rachel Nicole Myers | Family Medicine | 109 N Franklin St, Byron, IL 61010-1441 | 2009-08-12 |
| 1679703896 | Lifepointe Medical Providers LLC | Family Medicine | 212 Ga Highway 49 N Ste 900, Byron, GA 31008-4064 | 2009-07-22 |
| 1427110915 | James A. Livingston | Family Medicine | 105 Moseley Rd, Byron, GA 31008-7148 | 2006-12-14 |
| 1942371158 | Lawrence Kirk Md LLC | Family Medicine | 200 Ga Highway 49 S, Byron, GA 31008-6937 | 2006-11-10 |
| 1427098870 | Arthur J Breck | Family Medicine | 220 W Blackhawk Dr, Byron, IL 61010-8988 | 2006-06-07 |
| 1003860081 | Mark J Wilbur | Family Medicine | 846 High Point Dr Ne, Byron, MN 55920-4407 | 2006-05-22 |
| 1619962610 | Lawrence F Kirk Jr. | Family Medicine | 200 Highway 49 South, Byron, GA 31008-6937 | 2005-09-15 |
| 1245687425 | Rachel Hansen | Family Medicine | 230 W Blackhawk Dr, Byron, IL 61010-8988 | 2016-05-18 |
| Find all providers in BYRON | ||||
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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.