Active NPI
Swedishamerican Hospital
- Emergency Medicine Physician
- Rochelle, IL
National Provider Identifier
1083768196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SWEDISHAMERICAN HOSPITAL
- Practice address
- 900 N 2ND St
Rochelle, IL 61068-1764 - Phone
- (815) 562-8181
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Daniels
- Title
- VP
- Phone
- (815) 966-2084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
900 N 2ND St
Rochelle, IL 61068-1764
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Other names 1
- Rochelle Hospital ER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000012 | IL | Part B Supplier - Clinic/Group Practice | 5799698346 |
Receives reassigned benefits from 506 practitioners This NPI is an additional NPI on the enrollment Practice locations: Rockford, IL; Roscoe, IL; Belvidere, IL; Rochelle, IL; Freeport, IL; Davis Junction, IL; Byron, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1669800587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234310400000",
"number": "1083768196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1567",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611100067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N 2ND ST",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "610681764",
"telephone_number": "815-562-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISHAMERICAN HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2009-02-11",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "815-966-2084"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rochelle Hospital ER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rochelle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.