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Stone Ridge Medical Group Sc

Family Medicine Physician in East Moline, IL · enumerated 2008 · authorized official James Petre, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306097894

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Registry record

Entity type Organization (Type 2)
Legal business name Stone Ridge Medical Group Sc
Practice address 306 46th Ave, East Moline, IL, 61244
Phone (309) 796-2329
Fax (309) 796-1146
Enumeration date Oct 2, 2008
Last updated in NPPES Oct 2, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 336053231 (IL) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036091695 (IL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085002304 (IL) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209000908 (IL) Secondary

Authorized official

Name James Petre
Title President
Phone (309) 796-2329

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Stone Ridge Medical Group Sc?
The NPI for Stone Ridge Medical Group Sc is 1306097894, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Stone Ridge Medical Group Sc?
NPPES lists James Petre (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-02.