TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
NPI 1093152118
Plastic Surgery in Rockford, IL
NPI Status: Active since May 30, 2013
Contact Information
5995 SPRING CREEK RD
ROCKFORD, IL
ZIP 61114
Phone: (815) 977-4403
Fax: (815) 977-5796
- Organization
- Plastic Surgery
- Accepts Insurance
- CLIA Number: 14D2171734
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-08-2027
About TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
This page provides the complete NPI Profile along with additional information for Transformations Clinical Entity Florida Illinois And Ohio Sc, a provider established in Rockford, Illinois operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1093152118 assigned on May 2013. The practitioner's primary taxonomy code is 208200000X with license number 036124349 (IL). The provider is registered as an organization and their NPI record was last updated February 2026. The provider's
- NPI
- 1093152118
- Provider Legal Name
- TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 5995 SPRING CREEK RD ROCKFORD, IL 61114
- Location Phone
- (815) 977-4403
- Location Fax
- (815) 977-5796
- Mailing Address
- 5995 SPRING CREEK RD ROCKFORD, IL 61114
- Mailing Phone
- (815) 977-4403
- Mailing Fax
- (815) 977-5796
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2013
- Last Update Date
- 02-13-2026
- Code Navigator
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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036124349
- License State
- IL
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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 | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2171734
- Facility Type
- Physician Office
- Certificate Effective Date
- September 09, 2025
- Certificate Expiration Date
- September 08, 2027
- Laboratory Director
- LANDON PRYOR M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Transformations Clinical Entity Florida Illinois And Ohio Sc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
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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 1093152118, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ROCKFORD, IL 61114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093152118, enumerated as an "organization" on May 30, 2013.
The provider is located at 5995 SPRING CREEK RD ROCKFORD, IL 61114 and the phone number is (815) 977-4403.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.
