Lundholm Surgical Group LTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LUNDHOLM SURGICAL GROUP LTD

Practice address

1340 Charles St
Rockford, IL 61104

Phone

(815) 397-4890

Fax

(815) 397-5926

NPI assigned

Mar 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott R Nyguist, MD

Title

MD

Phone

(815) 397-6723

Specialties & licenses 1

Addresses

Practitioners 6

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.

• Oscar A Anton, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1700089729
  NPD (past)
• Victor D Antonacci, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1306813506
  NPD (past)
• William C Dannenmaier, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1619944337
  NPD (past)
• James F Dougherty, DO

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1710954938
  NPD (past)
• Steven Milos, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rockford, IL
  • NPI 1093839300
  NPD (past)
• Scott R Nyquist, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1215904958
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790752434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100617",
            "telephone_number": "815-397-4890",
            "fax_number": "815-397-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61104",
            "telephone_number": "815-397-4890",
            "fax_number": "815-397-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDHOLM SURGICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NYGUIST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "815-397-6723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luna Star Transit LLC
• Robert Harry Lund, M.D.
• Amy Lundgren, RN
• Annie Mae Lundgren
• Lundholm Physical Therapy
• Lundholm Surgical Group Physical Therapy DPT
• Denise Lynn Lundine
• Mark L. Lundine
• Abigail Pam Lundquist, PA-C
• Alexandra Lundsteen, MS, LMFT, CADC

• Orthopaedic Surgery Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.