Plum Creek Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLUM CREEK SURGERY CENTER, LLC

Practice address

9200 Calumet Ave Ste N300
Munster, IN 46321-5811

Phone

(708) 275-7799

NPI assigned

Jan 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa McSherry, RN

Title

Director of Operations

Phone

(708) 275-7799

Specialties & licenses 1

Addresses

Other names 1

• Plum Creek Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Plum Creek Surgery Center LLCCCN 15C0002018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anis O Mekhail, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Palos Heights, IL
  • NPI 1700884723
  NPD
• Michael Luis Redondo, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Oak Lawn, IL
  • NPI 1396208294
  NPD
• Michal Szczodry, M.D.

  • Orthopaedic Surgery Physician
  • Orland Park, IL
  • NPI 1154646792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1043080674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BEMIS HEIGHTS AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463756004",
            "telephone_number": "708-275-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE N300",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463215811",
            "telephone_number": "708-275-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM CREEK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MCSHERRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "708-275-7799",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Creek Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Ivette Plascencia
• Matthew Plassmeier, PHARMD
• Jennifer Allison Platt, M.D.
• Melissa Kay Plavsa, NP
• Heather Plinovich, PH.D.
• Nicolette Polite, DDS
• Ava Madison Ponto, PA-C
• Amanda Poole, AGACNP-BC
• Diana Rose Poortenga
• Denise Catherine Poppen-Szynal, FNP-BC

• Ambulatory Surgical Clinic/Center in Munster, IN
• Providers in Munster, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.