Hinsdale Orthopaedic Associates, S.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

50005393A Issued in IN

Legal business name

HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.

Practice address

8141 S Calumet Ave
Unit 1
Munster, IN 46321

Phone

(630) 323-6116

NPI assigned

Nov 30, 2017

Organization subpart

Yes

Parent organization

HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.As reported in NPPES

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

Authorized official

Name

Mary Alice Radford

Title

Credentialing Coordinator

Phone

(630) 794-8671

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hinsdale Orthopaedic Associates, S.C., P.C. Other name

Part of

Hinsdale Ortho Assoc SC

Practitioners 3

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

• Jeffrey S Staron, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Munster, IN
  • NPI 1780723122
  NPD (past)
• Ashraf Darwish, MD

  • Orthopaedic Surgery Physician
  • Western Springs, IL
  • NPI 1962603258

  Orthopaedic Surgery

  NPD (past)
• Benjamin Domb, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Des Plaines, IL
  • NPI 1154454635
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1104330034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W OGDEN AVE",
            "address_2": "ATTN MARY ALICE RADFORD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213186",
            "telephone_number": "630-794-8671",
            "fax_number": "630-794-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 S CALUMET AVE",
            "address_2": "UNIT 1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "630-323-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "MARY ALICE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "630-794-8671"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "50005393A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CORPORATION LICENSE",
            "identifier": "500005393A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinsdale Orthopaedic Associates, S.C., P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diamond Hickman
• Yasmine High
• Alexus Hill
• Daryl Kent Hill, D.M.D., M.S.
• Hilton M. Hudson,MD PC
• Emily A Hinton
• Anthony Hirschenberger, D.D.S.
• His Morning Glory Personal Services LLC
• Beth O Hodge, MD
• Lisa Gaye Hodges, D.C.

• All providers in Munster, IN
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.