Affiliated Surgeons of Rockford LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036062833 Issued in IL

Legal business name

AFFILIATED SURGEONS OF ROCKFORD LLC

Practice address

2300 N Rockton Ave
Ste 304
Rockford, IL 61103-3619

Phone

(815) 964-3333

Fax

(815) 964-3134

NPI assigned

May 24, 2005

Last updated

Feb 17, 2012By 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

Dr. Paul J Klazura, M.D.NPI 1407852551

Title

Controlling Partner

Phone

(815) 489-6034

Specialties & licenses 11

Addresses

Other identifiers 2

Locations

Practitioners 10

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.

• Paul J Klazura, M.D.

  • Vascular Surgery Physician
  • Rockford, IL
  • NPI 1407852551
  Authorized official Same address or phone
• Cynthia Ann Bear, PA

  • Surgical Physician Assistant
  • Rockford, IL
  • NPI 1548266620
  NPD (past)
• Donald E McCanse, M.D.

  • Surgery Physician
  • Rockford, IL
  • NPI 1568468619
  NPD (past)
• Roger L Miller, M.D.

  • Surgery Physician
  • Rockford, IL
  • NPI 1912903899
  NPD (past)
• Joseph R Whiteley, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Rockford, IL
  • NPI 1043216112
  NPD (past)
• Patrizio Capasso, MD

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1306803192

  Vascular & Interventional Radiology

  NPD (past)
• William James Cowden, M.D.

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1033384904
  NPD (past)
• Patrick E Daly, MD

  • Surgery Physician
  • Oshkosh, WI
  • NPI 1023123122
  NPD (past)
• David Y Park, M.D.

  • Surgery Physician
  • Florence, OR
  • NPI 1265481519
  NPD (past)
• William A Sacksteder, MD

  • Vascular Surgery Physician
  • Oshkosh, WI
  • NPI 1831110162
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1851394696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15730",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611325730",
            "telephone_number": "815-964-3333",
            "fax_number": "815-964-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N ROCKTON AVE",
            "address_2": "STE 304",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033619",
            "telephone_number": "815-964-3333",
            "fax_number": "815-964-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SURGEONS OF ROCKFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "KLAZURA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLING PARTNER",
        "authorized_official_telephone_number": "815-489-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036104533",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036062833",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036048085",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036064323",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036071666",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036063647",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036101179",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036067268",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "036064410",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085002211",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP GROUP NUMBER",
            "identifier": "204575400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "10132011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Reproductive Center, LTD.
• Advanced Rockford Eye Care LLC
• Advanced Therapy Solutions
• Aegis Group Practice LLC
• Aesthetic Dentistry and Implant Center of Rockford
• Affordable Dentistry Today (Affordable Dentistry Today - Rockford)
• Affordable Dentures - Rock Hill, P.C.
• Hany M Afram, MD
• Mohammed S Afzal, M.D.
• Latavia Shantaye Agada, MA, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.