Organization Active NPI

OB-GYN Associates (Rockford) LTD.

  • Specialist
  • Rockford, IL
National Provider Identifier
1841335072
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OB-GYN ASSOCIATES (ROCKFORD) LTD.
Practice address
1016 Featherstone Road
Rockford Ambulatory Surgery Center
Rockford, IL 61107
Phone
(815) 494-9867
Fax
(815) 226-1595
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Charles Birch Hollman, MD
Title
Vice President
Phone
(815) 494-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1016 Featherstone Road
Rockford Ambulatory Surgery Center
Rockford, IL 61107

Mailing address

1643 N. Alpine Rd
Suite 104 #226
Rockford, IL 61107
Phone (815) 494-9867

Other names 1

  • Rockford Contraception Associates Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1841335072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 N. ALPINE RD",
            "address_2": "SUITE 104 #226",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "815-494-9867",
            "fax_number": "815-226-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 FEATHERSTONE ROAD",
            "address_2": "ROCKFORD AMBULATORY SURGERY CENTER",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "815-494-9867",
            "fax_number": "815-226-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN ASSOCIATES (ROCKFORD) LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "HOLLMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BIRCH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "815-494-9867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockford Contraception Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 2014; 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.