Active NPI
Cardiovascular Institute at Osf, LLC
- Cardiovascular Disease Physician
- Rockford, IL
National Provider Identifier
1194965012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOVASCULAR INSTITUTE AT OSF, LLC
- Practice address
- 444 Roxbury Rd
Rockford, IL 61107-5059 - Phone
- (815) 398-3000
- Fax
- (815) 398-3041
- NPI assigned
- Mar 5, 2009
- Organization subpart
- Yes
- Parent organization
- OSF HEALTHCARE SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Moore
- Title
- Ceo
- Phone
- (309) 655-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
444 Roxbury Rd
Rockford, IL 61107-5059
Mailing address
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
Other names 1
- ROCKFORD CARDIOVASCULAR ASSOCIATES
National Provider Directory
National Provider Directory- Part of
- Eastland Med Plaza Surg
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Peoria, IL
- NPI 1093370108
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243468800000",
"number": "1194965012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-398-3000",
"fax_number": "815-398-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-398-3000",
"fax_number": "815-398-3041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR INSTITUTE AT OSF, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
"enumeration_date": "2009-03-05",
"last_updated": "2009-05-28",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "309-655-2850"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROCKFORD CARDIOVASCULAR ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.