SA STATELINE CLINIC
NPI 1386054062
Family Medicine in Roscoe, IL
NPI Status: Active since May 02, 2014
- Organization
- Family Medicine
About SA STATELINE CLINIC
This page provides the complete NPI Profile along with additional information for Sa Stateline Clinic, a primary care provider established in Roscoe, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1386054062 assigned on May 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Sa Stateline Clinic 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 Stateline Clinic. The authorized official of this NPI record is Don Daniels (Vp)
- NPI
- 1386054062
- Provider Legal Name
- SWEDISHAMERICAN HOSPITAL
- Other Organization Name
- SA STATELINE CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4282 E ROCKTON RD ROSCOE, IL 61073
- Location Phone
- (779) 696-9000
- Mailing Address
- PO BOX 78866 MILWAUKEE, WI 53278
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2014
- Last Update Date
- 07-12-2018
- Code Navigator
A primary care provider (PCP) like Sa Stateline Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 6 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 7 | 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 |
|---|---|---|---|
| 082 | OTHER (01) | IL | TRICARE SUFFIX # |
Reviews for SA STATELINE CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 6 | 0 | 5 | 4 | 0 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 0 | 5 | 8 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 0 + 5 + 8 + 0 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1386054062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134168586 | DR. GAYLE R CRAYS MD Individual | Family Medicine | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1922395763 | JEFFREY DAVID GURTIZEN D.O. Individual | Family Medicine | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1437719291 | DAKOTA L FELCKOWSKI APRN Individual | Nurse Practitioner (Pediatrics) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1841600715 | AMANDA HUBER Individual | Nurse Practitioner (Family) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1356850739 | TONYA L TIDWELL Individual | Nurse Practitioner (Family) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1770915589 | SYEDA ROSHAN DPM Individual | Podiatrist (Foot & Ankle Surgery) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1598701088 | DR. TAREK SAMIR HARB MD Individual | Obstetrics & Gynecology | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1912550237 | SHAGHAYEGH ESFANDNIA MD Individual | Family Medicine | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1073399408 | SARA GADDINI FNP-C Individual | Nurse Practitioner (Family) | 4282 E ROCKTON RD ROSCOE, IL 61073 (815) 558-9970 |
| 1760101562 | JENNY CATHERINE HENNEGAR APRN Individual | Nurse Practitioner (Pediatrics) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1497478242 | KEATON LAWSON WOLF Individual | Physician Assistant | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1225785991 | JORDAN MARIE HENDRICKS FNP-BC Individual | Nurse Practitioner (Family) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
| 1881589364 | KALLIE SMITH APRN Individual | Nurse Practitioner (Family) | 4282 E ROCKTON RD ROSCOE, IL 61073 (779) 696-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386054062, enumerated in the NPI registry as an "organization" on May 02, 2014
The provider is located at 4282 E Rockton Rd Roscoe, Il 61073 and the phone number is (779) 696-9000
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
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 May 02, 2014. 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.