NPIMap

Organization Active NPI

Rockford Spine Center, LTD

  • Orthopaedic Surgery of the Spine Physician
  • Rockford, IL
National Provider Identifier
1124039391
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
042-617984 Issued in IL
Legal business name
ROCKFORD SPINE CENTER, LTD
Practice address
2902 McFarland Rd
Suite 300
Rockford, IL 61107-6801
Phone
(815) 316-2100
Fax
(815) 316-2099
NPI assigned
Aug 11, 2006
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Jacqueline Spielman
Title
Operations Manager
Phone
(815) 316-2100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 042-617984 IL
Orthopaedic Surgery Physician 207X00000X 042-617984 IL
Orthopaedic Surgery of the Spine Physician 207XS0117X 042-617984 IL Primary
Physical Medicine & Rehabilitation Physician 208100000X 042-617984 IL

Addresses

Primary practice location

2902 McFarland Rd
Suite 300
Rockford, IL 61107-6801

Mailing address

2902 McFarland Rd
Suite 300
Rockford, IL 61107-6801
Phone (815) 316-2100

National Provider Directory

National Provider Directory

Locations

2902 McFarland Rd
Rockford, IL 61107
Phone (815) 316-2100

Practitioners & affiliated clinicians

Practitioners 3

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1124039391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD",
            "address_2": "SUITE 300",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-2100",
            "fax_number": "815-316-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD",
            "address_2": "SUITE 300",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-2100",
            "fax_number": "815-316-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD SPINE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "SPIELMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "815-316-2100"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "042-617984",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042-617984",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "042-617984",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "042-617984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.