Active NPI
Swedishamerican Hospital Association
- Internal Medicine Physician
- Rockford, IL
National Provider Identifier
1679723142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SWEDISHAMERICAN HOSPITAL ASSOCIATION
- Practice address
- 1401 E State St
Rockford, IL 61104-2315 - Phone
- (815) 489-4760
- NPI assigned
- Sep 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Daniels
- Title
- VP
- Phone
- (815) 966-2084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104-2315
Mailing address
PO Box 4073
Rockford, IL 61110-0573
Other names 1
- Medical Group of SwedishAmerican
National Provider Directory
National Provider Directory- Tax ID family
- HHM Radiation Oncology
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222041600000",
"number": "1679723142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4073",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611100573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315",
"telephone_number": "815-489-4760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISHAMERICAN HOSPITAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "815-966-2084"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Group of SwedishAmerican",
"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 Sep 22, 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.