SA MIDTOWN CLINIC
NPI 1619029881
Family Medicine in Rockford, IL

NPI Status: Active since January 17, 2007

Contact Information

1340 CHARLES ST
SUITE 405
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-5353

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  • Organization
  • Family Medicine

About SA MIDTOWN CLINIC

This page provides the complete NPI Profile along with additional information for Sa Midtown Clinic, a primary care provider established in Rockford, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1619029881 assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Sa Midtown Clinic 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 Midtown Clinic. The authorized official of this NPI record is Don Daniels (Vp)

NPI
1619029881
Provider Legal Name
SWEDISHAMERICAN HOSPITAL
Other Organization Name
SA MIDTOWN CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1340 CHARLES ST SUITE 405 ROCKFORD, IL 61104
Location Phone
(779) 696-5353
Mailing Address
PO BOX 78866 MILWAUKEE, WI 53278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2007
Last Update Date
07-12-2018
Code Navigator

A primary care provider (PCP) like Sa Midtown 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)
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
=========041OTHER (01)ILTRICARE
14D0430105OTHER (01)ILCLIA

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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 1619029881, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 1 → 2 0 → 0 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 0 + 2 + 1 + 8 + 8 + 1 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1619029881.

Other Providers at the Same Location


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

Urology
1340 CHARLES ST, SUITE 200
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1340 CHARLES ST, SUITE 404
ROCKFORD, IL 61104
Specialist/Technologist (Athletic Trainer)
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Clinic/Center (Physical Therapy)
1340 CHARLES ST
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Urology
1340 CHARLES ST, SUITE 200
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Internal Medicine (Interventional Cardiology)
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 400
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, STE 400
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Neurological Surgery
1340 CHARLES ST, SUITE 400
ROCKFORD, IL 61104
Internal Medicine (Cardiovascular Disease)
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Neurological Surgery
1340 CHARLES ST, SUITE 400
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619029881, enumerated as an "organization" on January 17, 2007.

The provider is located at 1340 CHARLES ST SUITE 405 ROCKFORD, IL 61104 and the phone number is (779) 696-5353.

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 verify.