Active NPI
John Eric Player, DO
- Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036.133344
- Practice address
- 5668 E State St
Suite 1000
Rockford, IL 61108-2464 - Phone
- (815) 397-7900
- Fax
- (815) 397-7919
- NPI assigned
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 54098-21 | WI | |
| Surgery Physician | 208600000X | 036.133344 | IL | Primary |
Addresses
Primary practice location
5668 E State St
Suite 1000
Rockford, IL 61108-2464
Mailing address
5668 E State St
Suite 1000
Rockford, IL 61108-2464
Phone (815) 397-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61001 | Other | WI | DEAN HEALTH INSURANCE |
| 100008500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (309) 665-4729
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.133344 | IL | MD | Surgery Physician |
| 54098-21 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pekin Prohealth Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
600 S 13th St
#I
Pekin, IL 61554
Phone (309) 495-0200
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
2500 W Reynolds St
Ste 207203205206
Pontiac, IL 61764
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
5668 E State St
Ste 1000
Rockford, IL 61108
Phone (815) 229-7580
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Pekin, IL
- NPI 1932150299
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1285965905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5668 E STATE ST",
"address_2": "SUITE 1000",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082464",
"telephone_number": "815-397-7900",
"fax_number": "815-397-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 E STATE ST",
"address_2": "SUITE 1000",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082464",
"telephone_number": "815-397-7900",
"fax_number": "815-397-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAYER",
"first_name": "JOHN",
"middle_name": "ERIC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "54098-21",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.133344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "61001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100008500",
"state": "WI"
}
],
"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 Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.