Organization Active NPI

Rockford Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rockford, IL
National Provider Identifier
1356412894
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002835 Issued in IL
Legal business name
ROCKFORD ORTHOPEDIC SURGERY CENTER, LLC
Practice address
346 Roxbury Rd
Rockford, IL 61107-5090
Phone
(815) 381-7400
NPI assigned
Nov 13, 2006
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCKFORD ORTHOPEDIC ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Don A Schreiner
Title
Chief Operating Officer
Phone
(815) 398-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002835 IL Primary

Addresses

Primary practice location

346 Roxbury Rd
Rockford, IL 61107-5090

Mailing address

346 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 381-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041124000302 IL Part B Supplier - Ambulatory Surgical Center 1456316991 Practice locations: Rockford, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rockford Orthopedic Surgery CenterCCN 14C0001110
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Rockford Orthopedic Ass

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1356412894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075090",
            "telephone_number": "815-381-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075090",
            "telephone_number": "815-381-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD ORTHOPEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKFORD ORTHOPEDIC ASSOCIATES",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "815-398-9491"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002835",
            "primary": true
        }
    ],
    "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 Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.