SA BROOKSIDE SPECIALTY CENTER
NPI 1144382268
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rockford, IL
NPI Status: Active since December 14, 2006
Contact Information
1253 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (779) 696-9201
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
About SA BROOKSIDE SPECIALTY CENTER
This page provides the complete NPI Profile along with additional information for Sa Brookside Specialty Center, an internist established in Rockford, Illinois operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1144382268 assigned on December 2006. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Sa Brookside Specialty Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Sa Brookside Specialty Center. The authorized official of this NPI record is Don Daniels (Vp)
- NPI
- 1144382268
- Provider Legal Name
- SWEDISHAMERICAN HOSPITAL
- Other Organization Name
- SA BROOKSIDE SPECIALTY CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1253 N ALPINE RD ROCKFORD, IL 61107
- Location Phone
- (779) 696-9201
- Mailing Address
- PO BOX 78866 MILWAUKEE, WI 53278
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2006
- Last Update Date
- 07-12-2018
- Code Navigator
An internist like Sa Brookside Specialty Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 4 | 207YP0228X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 5 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 6 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| 7 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 8 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========038 | OTHER (01) | IL | TRICARE |
| 14D1001046 | OTHER (01) | IL | CLIA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 3 | 8 | 2 | 2 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 6 | 8 | 4 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 6 + 8 + 4 + 2 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1144382268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942227905 | CAROLYN M AWENDER Individual | Audiologist | 1253 N ALPINE RD ROCKFORD, IL 61107 (815) 391-7878 |
| 1437251931 | MARK L. LUNDINE Individual | Otolaryngology | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1457378283 | MARGARET PROVENZA Individual | Otolaryngology | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1578674834 | FATIMA T MOHIUDDIN MD Individual | Allergy & Immunology | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1821186263 | JOHN M NIELSEN DPM Individual | Podiatrist | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1528231354 | DR. HEATH A. HOFFMAN D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1861655375 | SRAVANTHI NAGAVALLI MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1104065598 | JESSICA E MUCCIANTI PA C Individual | Physician Assistant | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1730404419 | KELLY M LOGLI APN Individual | Nurse Practitioner | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1013267194 | DR. AMRUTHA MARY GEORGE M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1205938982 | SUSAN A MARSHALL AUD Individual | Audiologist | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1194903849 | MS. ANN L. BROUGHTON M.A. Individual | Audiologist | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1700229473 | DR. LUCAS WILLIAM MEYERS AUD. Individual | Audiologist | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1821433137 | ALEIDA RODRIGUEZ Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1811513641 | DR. BETH BARBARA RICHARDSON DPM Individual | Podiatrist (Foot & Ankle Surgery) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1811636798 | DR. TY ALEXANDER TANKER AU.D. Individual | Audiologist | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1790873016 | DAVID J SCHLEICHER MD Individual | Obstetrics & Gynecology | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1447246392 | KENNETH RICHARD NISSIM M.D. Individual | Otolaryngology (Plastic Surgery within the Head & Neck) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1922090646 | JACK PETER KOTLARZ MD Individual | Otolaryngology (Plastic Surgery within the Head & Neck) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
| 1154166882 | MICHAELA FRITZ Individual | Nurse Practitioner (Family) | 1253 N ALPINE RD ROCKFORD, IL 61107 (779) 696-9201 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144382268, enumerated in the NPI registry as an "organization" on December 14, 2006
The provider is located at 1253 N Alpine Rd Rockford, Il 61107 and the phone number is (779) 696-9201
This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism
The provider might be accepting Accepts: Tricare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.