Swedishamerican Hospital

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SWEDISHAMERICAN HOSPITAL

Practice address

461 N Mulford Rd Ste 4
Rockford, IL 61107-5165

Phone

(815) 397-2400

Fax

(815) 397-1879

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Addresses

Other names 1

• Baptist Pediatric Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian J Goldberg, D.O.

  • Cardiovascular Disease Physician
  • Rockford, IL
  • NPI 1871574301
  NPD
• Stephen L Rose, MD

  • Gynecologic Oncology Physician
  • Madison, WI
  • NPI 1316987407
  NPD

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1114470945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78866",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788866",
            "telephone_number": "779-696-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 N MULFORD RD STE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075165",
            "telephone_number": "815-397-2400",
            "fax_number": "815-397-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISHAMERICAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "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": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital

• All providers in Rockford, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.