Organization Active NPI

Midwest Surgical Care Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Rockford, IL
National Provider Identifier
1366638751
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDWEST SURGICAL CARE CENTER, LTD
Practice address
6451 E Riverside Blvd
Suite 103a
Rockford, IL 61114-4421
Phone
(815) 639-9900
Fax
(815) 639-9860
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Todd Cevene, DC
Title
Clinic Director
Phone
(815) 639-9900

Specialties & licenses 1

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

Addresses

Primary practice location

6451 E Riverside Blvd
Suite 103a
Rockford, IL 61114-4421

Mailing address

6451 E Riverside Blvd
Suite 103a
Rockford, IL 61114-4421
Phone (815) 639-9900

National Provider Directory

National Provider Directory

Locations

6451 E Riverside Blvd
Ste 103A
Rockford, IL 61114
Phone (815) 639-9900

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1366638751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 103A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "SUITE 103A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL CARE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CEVENE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "815-639-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "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 Sep 19, 2007; 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.