ROCKFORD SURGICAL SERVICE, S.C.
NPI 1073679411
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Rockford, IL

NPI Status: Active since December 29, 2006

Contact Information

5668 E STATE ST
SUITE1000
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-7900
Fax: (815) 397-7919

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About ROCKFORD SURGICAL SERVICE, S.C.

This page provides the complete NPI Profile along with additional information for Rockford Surgical Service, S.c., a provider established in Rockford, Illinois operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1073679411 assigned on December 2006. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Rockford Surgical Service, S.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leslie P Edgcomb M.d. (President)

NPI
1073679411
Provider Name
ROCKFORD SURGICAL SERVICE, S.C.
Entity Type
Organization
Location Address
5668 E STATE ST SUITE1000 ROCKFORD, IL 61108
Location Phone
(815) 397-7900
Location Fax
(815) 397-7919
Mailing Address
5668 E STATE ST SUITE1000 ROCKFORD, IL 61108
Mailing Phone
(815) 397-7900
Mailing Fax
(815) 397-7919
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2006
Last Update Date
09-11-2025
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

(IL)
22086S0102XAllopathic & Osteopathic Physicians

Surgery
Surgical Critical Care

04200060 (IL)
32086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

(IL)
4208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

(IL)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE P EDGCOMB M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(815) 397-7900

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
10115298OTHER (01)ILBLUE SHIELD
96719OTHER (01)ILRAIL ROAD MEDICARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073679411, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 7 + 1 + 8 + 4 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1073679411.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5668 E STATE ST
ROCKFORD, IL 61108
Internal Medicine (Pulmonary Disease)
5668 E STATE ST, SUITE B600
ROCKFORD, IL 61108
Internal Medicine (Pulmonary Disease)
5668 E STATE ST, SUITE B600
ROCKFORD, IL 61108
Internal Medicine (Pulmonary Disease)
5668 E STATE ST, SUITE B600
ROCKFORD, IL 61108
Internal Medicine (Pulmonary Disease)
5668 E STATE ST, SUITE B600
ROCKFORD, IL 61108
Surgery
5668 E STATE ST, SUITE 1000
ROCKFORD, IL 61108
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5668 E STATE ST, SUITE 2000
ROCKFORD, IL 61108
Dentist
5668 E STATE ST, SUITE 1100
ROCKFORD, IL 61108
Orthopaedic Surgery
5668 E STATE ST, SUITE 400
ROCKFORD, IL 61108
Orthopaedic Surgery
5668 E STATE ST, SUITE 400
ROCKFORD, IL 61108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5668 E STATE ST, SUITE 1000
ROCKFORD, IL 61108
Surgery (Vascular Surgery)
5668 E STATE ST
ROCKFORD, IL 61108
Colon & Rectal Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108
Surgery
5668 E STATE ST
ROCKFORD, IL 61108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073679411, enumerated as an "organization" on December 29, 2006.

The provider is located at 5668 E STATE ST SUITE1000 ROCKFORD, IL 61108 and the phone number is (815) 397-7900.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.