Organization · Type 2 NPI

Transformations Clinical Entity Florida Illinois and Ohio SC

Plastic Surgery Physician · Rockford, IL

NPI number 1093152118 Active

Practice location

5995 Spring Creek Rd
Rockford, IL 61114-6481

Fax (815) 977-5796

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	036124349 (IL)
Ambulatory Surgical Clinic/Center	261QA1903X	None listed

Plastic Surgery Physician: 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 b…

7 other providers at this address

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NPI record

NPI: 1093152118
Entity type: Organization (Type 2)
Issued: May 30, 2013
Last updated: Feb 13, 2026
Status: Active

Other names

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Transformations Plastic Surgery · doing business as
Transformations Plastic Surgery · doing business as
Pryorhealth · other name

Authorized official

Mr. Scott D Carter
Manager
(815) 977-4403

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About NPI 1093152118

Transformations Clinical Entity Florida Illinois and Ohio SC's National Provider Identifier is 1093152118, issued on May 30, 2013. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Rockford, IL. The record was last updated on Feb 13, 2026.