Swedishamerican Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SWEDISHAMERICAN HOSPITAL

Practice address

5005 Hononegah Rd
Roscoe, IL 61073-8682

Phone

(779) 696-9000

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Addresses

Other names 1

• SAMG Roscoe Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fauzia G Khattak, MD

  • Hematology & Oncology Physician
  • Rockford, IL
  • NPI 1265625354
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1962557678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100067",
            "telephone_number": "779-696-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738682",
            "telephone_number": "779-696-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISHAMERICAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-07-30",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMG Roscoe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stoneview Eye Care, LLC
• Karen Stott, M.A. CCC-SLP
• Rosemary Svihlik
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital Association
• Daniel L Syverson, DPM
• Jacob Tanker, PHARM D
• Jane Taylor, MD
• Teensy Talkers LLC

• Family Medicine Physician in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.