Active NPI
Starsurgical 1 LLC
- Surgical Physician Assistant
- Aurora, IL
National Provider Identifier
1013614734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- STARSURGICAL 1 LLC
- Practice address
- 1325 N Highland Ave
Aurora, IL 60506-1449 - Phone
- (630) 859-2222
- NPI assigned
- Feb 13, 2023
- Organization subpart
- Yes
- Parent organization
- STARSURGICAL 1 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose Espino, RCSA
- Title
- Surgical Assistant
- Phone
- (630) 330-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
1325 N Highland Ave
Aurora, IL 60506-1449
Mailing address
PO Box 543
Montgomery, IL 60538-0543
Phone (630) 330-1761
Other practice location 1
2373 White Rose Dr
Montgomery, IL 60538-5140
Phone (630) 330-0200
National Provider Directory
National Provider Directory- Part of
- Starsurgical 1 LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Montgomery, IL
- NPI 1407882210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1013614734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605380543",
"telephone_number": "630-330-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061449",
"telephone_number": "630-859-2222"
}
],
"practiceLocations": [
{
"address_1": "2373 White Rose Dr",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "IL",
"postal_code": "605385140",
"country_code": "US",
"telephone_number": "630-330-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STARSURGICAL 1 LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STARSURGICAL 1 LLC",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-10",
"status": "A",
"authorized_official_last_name": "ESPINO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "SURGICAL ASSISTANT",
"authorized_official_telephone_number": "630-330-0200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RCSA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.