NPIMap

Organization Active NPI

Transformations Clinical Entity Florida Illinois and Ohio SC

Doing business as Transformations Plastic Surgery

  • Plastic Surgery Physician
  • Rockford, IL
National Provider Identifier
1093152118
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036124349 Issued in IL
Legal business name
TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
Doing business as
Transformations Plastic Surgery
Practice address
5995 Spring Creek Rd
Rockford, IL 61114-6481
Phone
(815) 977-4403
Fax
(815) 977-5796
NPI assigned
May 30, 2013
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott D Carter
Title
Manager
Phone
(815) 977-4403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Plastic Surgery Physician 208200000X 036124349 IL Primary

Addresses

Primary practice location

5995 Spring Creek Rd
Rockford, IL 61114-6481

Mailing address

5995 Spring Creek Rd
Rockford, IL 61114-6481
Phone (815) 977-4403

Other names 2

  • Transformations Plastic Surgery Doing business as
  • Pryorhealth Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000186 IL Part B Supplier - Clinic/Group Practice 0143460246 Receives reassigned benefits from 10 practitioners
Practice locations: Chicago, IL; Rockford, IL

National Provider Directory

National Provider Directory

Locations

2335 S Michigan Ave
Fl 2
Chicago, IL 60616
Phone (312) 502-6200

5995 Spring Creek Rd
Rockford, IL 61114
Phone (815) 654-2020

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1093152118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SPRING CREEK RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146481",
            "telephone_number": "815-977-4403",
            "fax_number": "815-977-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SPRING CREEK RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146481",
            "telephone_number": "815-977-4403",
            "fax_number": "815-977-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-977-4403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036124349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformations Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transformations Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pryorhealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.

Verify at the official NPI Registry.