SAMG CAMELOT OB/GYN
NPI 1336203769
Obstetrics & Gynecology in Rockford, IL

NPI Status: Active since December 20, 2006

Contact Information

1415 E STATE ST
SUITE 200
ROCKFORD, IL
ZIP 61104
Phone: (815) 489-4551

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  • Organization
  • Obstetrics & Gynecology

About SAMG CAMELOT OB/GYN

This page provides the complete NPI Profile along with additional information for Samg Camelot 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 1336203769 assigned on December 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Samg Camelot Ob/gyn. The authorized official of this NPI record is Don Daniels (Vp)

NPI
1336203769
Provider Legal Name
SWEDISHAMERICAN HOSPITAL
Other Organization Name
SAMG CAMELOT OB/GYN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1415 E STATE ST SUITE 200 ROCKFORD, IL 61104
Location Phone
(815) 489-4551
Mailing Address
PO BOX 1567 ROCKFORD, IL 61110
Mailing Phone
(779) 696-7150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
07-30-2013
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Women's health care providers like Samg Camelot 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
=========026OTHER (01)ILTRICARE
0428510003MEDICARE NSC (07)IL 
436860MEDICARE PIN (08)IL 

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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 1336203769, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 3 → 6 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 4 + 0 + 6 + 7 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1336203769.

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
Hearing Instrument Specialist
1415 E STATE ST, STE A1
ROCKFORD, IL 61104
Obstetrics & Gynecology
1415 E STATE ST, 8TH FLOOR
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 1336203769, enumerated as an "organization" on December 20, 2006.

The provider is located at 1415 E STATE ST SUITE 200 ROCKFORD, IL 61104 and the phone number is (815) 489-4551.

Obstetrics & Gynecology with taxonomy code 207V00000X.

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