Shinta Jong (NPI# 1154501799, PAC ID# 1850438342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154501799 |
| PAC ID by PECOS | 1850438342 |
| Professional Enrollment ID | I20091103000212 |
| Full Name | Shinta Jong |
| Organization Legal Name | SWEDISHAMERICAN HOSPITAL |
| Address |
6824 Newburg Rd Sa Valley Rockford IL 61108-4330 |
| Phone Number | 7796967610 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799698346 |
| Number of Group Practice Members | 218 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520208 | SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE |
| 520083 | SSM HEALTH ST MARY'S HOSPITAL - MADISON |
| 521319 | EDGERTON HOSPITAL AND HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 3505 N Bell School Rd, Rockford, IL 61114-6624 | 7796960300 | SWEDISHAMERICAN HOSPITAL |
| 3535 N Bell School Rd, Regional Cancer Center, Rockford, IL 61114-6624 | 7796969400 | SWEDISHAMERICAN HOSPITAL |
| 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 | 7796967610 | SWEDISHAMERICAN HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 51% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 51% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 79% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 79% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 29% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 29% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 21% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 21% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 31% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 31% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SWEDISHAMERICAN HOSPITAL |
| Physicians | 196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrine M Maund | Obstetrics/gynecology | Swedishamerican Hospital | 815 Marchesano Dr, Rockford, IL 61102-3521 |
| Amrutha Mary Mary George | Endocrinology | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Syed M Rizvi | Internal Medicine | Swedishamerican Hospital | 2601 N Main St, Sa North Main, Rockford, IL 61103-3110 |
| Lauren A Ives | Family Medicine | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Joycelyn L Speight | Radiation Oncology | Swedishamerican Hospital | 3535 N Bell School Rd, Regional Cancer Center, Rockford, IL 61114-6624 |
| Srivani Sridhar | Family Medicine | Swedishamerican Hospital | 230 W Blackhawk Dr, Sa Byron, Byron, IL 61010-8988 |
| Katherine J Coulter | Nurse Practitioner | Swedishamerican Hospital | 380 E Il Route 38, Sa Rochelle, Rochelle, IL 61068-9694 |
| Lawrence A Freeman | Nurse Practitioner | Swedishamerican Hospital | 4282 E Rockton Rd, Sa Stateline Clinic, Roscoe, IL 61073-7420 |
| Geoffrey Tsaras | Infectious Disease | Swedishamerican Hospital | 5665 N Junction Way, Sa Davis Junction, Davis Junction, IL 61020-9433 |
| Jessica E Muccianti | Physician Assistant | Swedishamerican Hospital | 1253 N Alpine Rd, Sa Brookside Specialty Center, Rockford, IL 61107-2201 |
| Street Address |
6824 NEWBURG RD SA VALLEY |
| City | ROCKFORD |
| State | IL |
| Zip | 61108-4330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Ives | Family Medicine | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Kristin N Rindt | Physician Assistant | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Jacquelyn V Saengmany | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Haleigh N Moss | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Kathryn A Spinker | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Monica L Longnecker | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Jill D Weberg | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Renatta Nicole Palmore | Nurse Practitioner | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Carly L Vormezeele | Physician Assistant | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Andrew P Geddes | Pediatric Medicine | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie L Epling | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Paul A Galluzzo | Podiatry | 6999 Redansa Dr, Rockford, IL 61108-1201 | |
| James M Viggiano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Jason R Soriano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Brian D Klaung | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Suzanne E Stephan | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Beth A Drennen | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Lisa M Nackers | Psychologist, Clinical | University of Wisconsin Medical Foundation Inc | 2404 Charles St, Rockford, IL 61108-1602 |
| Sarah M Gurney | Nurse Practitioner | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Leynard M Martinez | Family Medicine | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Find all physicians in zip 61108 | |||
| City | ROCKFORD |
| Zip Code | 61108 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCKFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shinta Jong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.