Rockford Surgical Service, S.C. in Rockford - Thoracic Surgery (cardiothoracic Vascular Surgery)
Rockford Surgical Service, S.C. - NPI 1073679411
Rockford Surgical Service, S.C. is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Rockford, Illinois. Rockford Surgical Service, S.C. practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Rockford Surgical Service, S.C. is 1073679411. The last update date is 2020-08-22.
Rockford Surgical Service, S.C.'s current location address is 5668 E State St, Rockford, Illinois. You can contact this provider via phone number 8153977900 and fax number 8153977919. The mailing address for Rockford Surgical Service, S.C. is 5668 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rockford Surgical Service, S.C. |
|---|---|
| Address | 5668 E State St, Rockford, Illinois |
| Phone Number | 8153977900 |
| Fax Number | 8153977919 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Edgcomb P Leslie |
| Credentials | M.D. |
| Telephone Number | 8153977900 |
NPI Number Detail
| NPI Number | 1073679411 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5668 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082490 |
| Phone Number | 8153977900 |
| Fax Number | 8153977919 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10115298 | IL | BLUE SHIELD | |
| 96719 | IL | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Rockford Surgical Service, S.C. by the Centers for Medicare & Medicaid Services?
The Rockford Surgical Service, S.C. has been assigned the NPI (National Provider Identifier) 1073679411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Rockford Surgical Service, S.C. is geographically located?
The Rockford Surgical Service, S.C. is physically situated at the following location: 5668 E State St, Rockford, IL, 611082490.
What is Rockford Surgical Service, S.C.'s area of expertise and its corresponding taxonomy classification?
The Rockford Surgical Service, S.C.'s field of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Rockford Surgical Service, S.C. receive its 1073679411 assignment from the Centers for Medicare & Medicaid Services?
The Rockford Surgical Service, S.C. was assigned its 1073679411 on 2006-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Rockford Surgical Service, S.C.'s information last updated?
The Rockford Surgical Service, S.C.'s information was last updated on 2020-08-22.
NPI Number: 1447253067
Address: 2115 N Kansas Ave Ste 105, Hastings, NE
NPI Number: 1306849773
Address: 3200 Ponce De Leon Blvd, Coral Gables, FL
NPI Number: 1053315846
Address: 1455 E Bert Kouns Loop, Shreveport, LA
NPI Number: 1164426896
Address: 600 Grant Street, Us Steel Tower, 59th Floor, Pittsburgh, PA