Keystone Surgicare Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEYSTONE SURGICARE INC

Practice address

3330 W 177TH St
Suite 2C
Hazel Crest, IL 60429-2184

Phone

(708) 799-1144

NPI assigned

May 22, 2007

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin R Hall, M.D.NPI 1205898194

Title

Director of Center

Phone

(708) 799-1144

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin R Hall, MD

  • Orthopaedic Surgery Physician
  • Hazel Crest, IL
  • NPI 1205898194
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1043429277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SURGICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF CENTER",
        "authorized_official_telephone_number": "708-799-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karriem's Developmental Services
• Tanjeev Kaur, M.D.
• Kyriaki M Keenan, PA-C
• Keith Renfroe (Inner Healing Institute, LLC)
• Keystone Orthopedic Specialists S C
• Shahzaib Khan, DO
• Julie Kim, MD
• Solomon Kim, M.D.
• Lou Ann Kinsella, RD, LDN
• N Haluk Kitapci, MD

• Ambulatory Surgical Clinic/Center in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.