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

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  • 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 8 years ago. Sa State Street Ob/gyn operates as a Multi-Specialty Group with one or more individual practitioners, 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
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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)
1363L00000XPhysician 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.

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

DON DANIELS

Authorized Official Title
VP
Authorized Official Phone
(815) 966-2084

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
14D0941317OTHER (01)ILCLIA
079OTHER (01)ILTRICARE SUFFIX #

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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 1306280433, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 0 → 0 2 → 4 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 4 + 8 + 0 + 4 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1306280433.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Otolaryngology
1415 E STATE ST, SUITE A6
ROCKFORD, IL 61104
Clinical Nurse Specialist
1415 E STATE ST
ROCKFORD, IL 61104
Counselor (Mental Health)
1415 E STATE ST
ROCKFORD, IL 61104
Internal Medicine
1415 E STATE ST
ROCKFORD, IL 61104
Counselor (Mental Health)
1415 E STATE ST
ROCKFORD, IL 61104
Counselor (Mental Health)
1415 E STATE ST
ROCKFORD, IL 61104
Psychiatry & Neurology (Psychiatry)
1415 E STATE ST, SUITE 900
ROCKFORD, IL 61104
Obstetrics & Gynecology
1415 E STATE ST, SUITE 800
ROCKFORD, IL 61104
Social Worker (Clinical)
1415 E STATE ST
ROCKFORD, IL 61104
Clinical Nurse Specialist
1415 E STATE ST, SUITE 700
ROCKFORD, IL 61104
Hearing Instrument Specialist
1415 E STATE ST
ROCKFORD, IL 61104
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 E STATE ST, SUITE 900
ROCKFORD, IL 61104
Obstetrics & Gynecology
1415 E STATE ST, SUITE 200
ROCKFORD, IL 61104
Hearing Instrument Specialist
1415 E STATE ST, STE A1
ROCKFORD, IL 61104
Audiologist-Hearing Aid Fitter
1415 E STATE ST, CAMELOT TOWERS, STE A1
ROCKFORD, IL 61104
Nurse Practitioner
1415 E STATE ST, 800
ROCKFORD, IL 61104
Registered Nurse (Diabetes Educator)
1415 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1415 E STATE ST
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306280433, enumerated 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.

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 verify.