SWEDISHAMERICAN HOSPITAL (NPI# 1861710857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861710857 |
Entity Type | Organization |
Organization Name | SWEDISHAMERICAN HOSPITAL |
Other Organization Name | SWEDISHAMERICAN REGIONAL CANCER CENTER/ACT |
Practice Address |
2473 Mcfarland Rd Rockford IL 61107-6824 |
Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
Practice Telephone | 8159862286 |
Mailing Telephone | 7796967150 |
Enumeration Date | 2010-05-14 |
Last Update Date | 2013-07-30 |
Authorized Official Name | DON DANIELS (VP) |
Authorized Official Telephone | 8159662084 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS | 010122910 | 01 |
IL | TRICARE | 066 | 01 |
Other Name | Type Code |
---|---|
SwedishAmerican Regional Cancer Center/ACT | 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 |
2473 MCFARLAND RD |
City | ROCKFORD |
State | IL |
Zip Code | 61107-6824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215928288 | Steven Garrick Mull | Family Medicine | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2005-10-31 |
1134695281 | Courtney Brannan | Nurse Practitioner | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2018-10-16 |
1306326616 | Tombi Smith | Registered Nurse | 2473 Mcfarland Rd, Rockford, IL 61107 | 2018-08-16 |
1427557446 | Amy N Ekberg | Nurse Practitioner | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2018-02-05 |
1427595156 | Florentina Tase | Nurse Practitioner | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2017-01-19 |
1023568003 | Swedishamerican Hospital | Family Medicine | 2473 Mcfarland Rd, Rockford, IL 61107 | 2016-10-13 |
1225445273 | Mark Whitney | Physician Assistant | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2014-07-22 |
1972944510 | Mary M Mcnamara | Registered Nurse | 2473 Mcfarland Rd, Rockford, IL 61107 | 2013-07-11 |
1881034403 | Mohammed Amir Khan | Emergency Medicine | 2473 Mcfarland Rd, Rockford, IL 61107 | 2013-06-27 |
1992065130 | Hannah Eunkyung Choi | Emergency Medicine | 2473 Mcfarland Rd, Rockford, IL 61107-6824 | 2012-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
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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 |
---|---|---|---|---|
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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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.