Ascend Medical Inc.
Organization Active NPI Pain Clinic/Center · Westchester, IL
NPI 1053988337 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1053988337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- Legal business name
- ASCEND MEDICAL INC.
- Practice address
- 947 S Mannheim Rd
Westchester, IL 60154-2515 - Phone
- (847) 942-5994
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Omar Said, MD
- Title
- Physician
- Phone
- (847) 942-5994
Practitioners 3
-
Omar A Said, M.D
-
Jeffrey Johnson, PA-C
-
Josephine Mary Russo, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210922003139 | IL | Part B Supplier - Clinic/Group Practice | 9739586421 |
Receives reassigned benefits from 3 practitioners Practice locations: Westchester, IL; Woodridge, IL |
National Provider Directory
Locations
947 S Mannheim Rd
Westchester, IL 60154
Phone (708) 343-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Yes |
Addresses
Primary practice location
947 S Mannheim Rd
Westchester, IL 60154-2515
Mailing address
947 S Mannheim Rd
Westchester, IL 60154-2515
Phone (847) 942-5994
Other practice location 1
7425 Janes Ave Ste 204
Woodridge, IL 60517-2323
Phone (708) 550-7005
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All providers in Westchester, IL · Pain Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.