SWEDISHAMERICAN HOSPITAL (NPI# 1548386998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548386998 |
| Entity Type | Organization |
| Organization Name | SWEDISHAMERICAN HOSPITAL |
| Other Organization Name | AFFILIATED SURGEONS OF ROCKFORD |
| Practice Address |
2300 N Rockton Ave Rockford IL 61103-3619 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 8159643333 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-11-05 |
| Authorized Official Name | DON DANIELS (VP) |
| Authorized Official Telephone | 8158159662084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Affiliated Surgeons of Rockford | 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 |
| 1225199961 | Swedishamerican Hospital | Nurse Practitioner | 230 W Blackhawk Dr, Byron, IL 61010 | 2006-12-13 |
| 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 |
| Street Address |
2300 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
| 1538768056 | Patti J Wakefield | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-10-26 |
| 1235759192 | Kathryn N Norup | Physical Therapy Assistant | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-04-21 |
| 1407401912 | Eric Paulos | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-08-02 |
| 1013479575 | Jennifer Davidson | Occupational Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-04-03 |
| 1508321597 | Megan Lee Haas | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-02-05 |
| 1336634179 | Molly C Grosvenor | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-06-25 |
| 1750870291 | Lori Ann Moroz | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-05-09 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1578074753 | Dennis Durano Magdadaro | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
| 1346468105 | Heather Anne Hall | Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2007-04-24 |
| 1629014022 | Leslie Paul Edgcomb | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
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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.