SWEDISHAMERICAN HOSPITAL (NPI# 1730511379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730511379 |
| Entity Type | Organization |
| Organization Name | SWEDISHAMERICAN HOSPITAL |
| Other Organization Name | SWEDISHAMERICAN REGIONAL CANCER CENTER |
| Practice Address |
3535 N Bell School Rd Rockford IL 61114 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796969400 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | DON DANIELS (VP) |
| Authorized Official Telephone | 8159612030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLIA | 14D2066113 | 01 |
| IL | TRICARE SUFFIX # | 080 | 01 |
| Other Name | Type Code |
|---|---|
| SwedishAmerican Regional Cancer Center | 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 |
3535 N BELL SCHOOL RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
| 1841756293 | Carly Louise Vormezeele | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2019-02-11 |
| 1013385368 | Jon Suyko | Pharmacist | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2015-09-03 |
| 1396152484 | Angela Tess | Genetic Counselor, MS | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2014-07-21 |
| 1922394402 | Benjamin Y Durkee | Radiology | 3535 N Bell School Rd, Rockford, IL 61114 | 2011-06-23 |
| 1386937167 | Alaeddin Ali Maeza | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114-6624 | 2011-05-26 |
| 1265625354 | Fauzia G Khattak | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2007-08-22 |
| 1821109448 | Nameer Mardini | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-08-31 |
| 1558382069 | William Schulz | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
| 1689695108 | Harvey Einhorn | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861710857 | Swedishamerican Hospital | Internal Medicine | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2010-05-14 |
| 1265625354 | Fauzia G Khattak | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2007-08-22 |
| 1508942202 | Hosne Ara Begum | Internal Medicine | 2400 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2006-10-27 |
| 1821109448 | Nameer Mardini | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-08-31 |
| 1558382069 | William Schulz | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
| 1689695108 | Harvey Einhorn | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
| 1427079938 | Sharon Shipp | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-07-21 |
| 1992740963 | Merat Karbasian-esfahani | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2006-06-16 |
| 1700837218 | Majed Abuhajir | Internal Medicine | 5666 E State St, Rockford, IL 61108-2472 | 2006-05-12 |
| 1437140258 | William Robert Edwards | Internal Medicine | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-11-01 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on SWEDISHAMERICAN HOSPITAL.
| 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.