SA STATE STREET OB/GYN
NPI 1306280433
Obstetrics & Gynecology in Rockford, IL
NPI Status: Active since April 19, 2013
Contact Information
1415 E STATE ST
8TH FLOOR
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-9120
- Organization
- Obstetrics & Gynecology
About SA STATE STREET OB/GYN
This page provides the complete NPI Profile along with additional information for Sa State Street Ob/gyn, a women's health care provider established in Rockford, Illinois operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1306280433 assigned on April 2013. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Sa State Street Ob/gyn 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 State Street Ob/gyn. The authorized official of this NPI record is Don Daniels (Vp)
- NPI
- 1306280433
- Provider Legal Name
- SWEDISHAMERICAN HOSPITAL
- Other Organization Name
- SA STATE STREET OB/GYN
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1415 E STATE ST 8TH FLOOR ROCKFORD, IL 61104
- Location Phone
- (779) 696-9120
- Mailing Address
- PO BOX 78866 MILWAUKEE, WI 53278
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2013
- Last Update Date
- 07-12-2018
- Code Navigator
Women's health care providers like Sa State Street Ob/gyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 | 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 |
|---|---|---|---|
| 14D0941317 | OTHER (01) | IL | CLIA |
| 079 | OTHER (01) | IL | TRICARE SUFFIX # |
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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 | 3 | 0 | 6 | 2 | 8 | 0 | 4 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 8 | 0 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 8 + 0 + 4 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1306280433 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871504415 | DR. ANDREW G GAIZIUNAS MD Individual | Otolaryngology | 1415 E STATE ST SUITE A6 ROCKFORD, IL 61104 (815) 962-6600 |
| 1689774531 | ANGELINE L BRECHLIN APN Individual | Clinical Nurse Specialist | 1415 E STATE ST ROCKFORD, IL 61104 (815) 489-4376 |
| 1871664011 | KATHLEEN A KRUSE Individual | Counselor (Mental Health) | 1415 E STATE ST ROCKFORD, IL 61104 (815) 459-4376 |
| 1225198674 | LEROY P BACH MD Individual | Internal Medicine | 1415 E STATE ST ROCKFORD, IL 61104 (815) 489-9508 |
| 1134283690 | BRUCE L FEATHERS LCPC Individual | Counselor (Mental Health) | 1415 E STATE ST ROCKFORD, IL 61104 (815) 489-4376 |
| 1215091764 | GREGORY K PARKER LCPC Individual | Counselor (Mental Health) | 1415 E STATE ST ROCKFORD, IL 61104 (815) 489-4376 |
| 1245385954 | SWEDISHAMERICAN HOSPITAL Organization | Psychiatry & Neurology (Psychiatry) | 1415 E STATE ST SUITE 900 ROCKFORD, IL 61104 (815) 489-4183 |
| 1053586438 | ARTURO S. MANAS, LTD Organization | Obstetrics & Gynecology | 1415 E STATE ST SUITE 800 ROCKFORD, IL 61104 (815) 965-7117 |
| 1235306283 | BRENDA K BEARD LCSW Individual | Social Worker (Clinical) | 1415 E STATE ST ROCKFORD, IL 61104 (815) 489-4376 |
| 1942437785 | MRS. LINDA J DRIES MS, APRN, BC-ADM Individual | Clinical Nurse Specialist | 1415 E STATE ST SUITE 700 ROCKFORD, IL 61104 (815) 489-4396 |
| 1801133053 | RICHARD RADOSTITS HIS Individual | Hearing Instrument Specialist | 1415 E STATE ST ROCKFORD, IL 61104 (815) 964-3131 |
| 1508105313 | ASPEN COUNSELING & CONSULTING Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 1415 E STATE ST SUITE 900 ROCKFORD, IL 61104 (815) 399-9700 |
| 1336203769 | SWEDISHAMERICAN HOSPITAL Organization | Obstetrics & Gynecology | 1415 E STATE ST SUITE 200 ROCKFORD, IL 61104 (815) 489-4551 |
| 1891056958 | SHAUNNA SUSANNE SCHULDT Individual | Hearing Instrument Specialist | 1415 E STATE ST STE A1 ROCKFORD, IL 61104 (815) 964-3131 |
| 1346361383 | PROFESSIONAL HEARING CENTERS, INC Organization | Audiologist-Hearing Aid Fitter | 1415 E STATE ST CAMELOT TOWERS, STE A1 ROCKFORD, IL 61104 (815) 979-4112 |
| 1558803791 | JACQUELYN SAENGMANY APN Individual | Nurse Practitioner | 1415 E STATE ST 800 ROCKFORD, IL 61104 (779) 696-9120 |
| 1851009955 | MRS. TRACY R WEBER RN, CDCES Individual | Registered Nurse (Diabetes Educator) | 1415 E STATE ST ROCKFORD, IL 61104 (779) 696-4396 |
| 1982086237 | MICHELLE FULLER APN Individual | Nurse Practitioner | 1415 E STATE ST ROCKFORD, IL 61104 (779) 696-4891 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306280433, enumerated in the NPI registry as an "organization" on April 19, 2013
The provider is located at 1415 E State St 8th Floor Rockford, Il 61104 and the phone number is (779) 696-9120
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Medicare, Medicaid and Tricare. 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 April 19, 2013. 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].
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