LGH-a/Golf Astc, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002231 Issued in IL

Legal business name

LGH-A/GOLF ASTC, LLC

Practice address

8901 Golf Rd
Des Plaines, IL 60016

Phone

(847) 299-2273

Fax

(847) 299-7861

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Kirkman

Title

Ceo

Phone

(847) 321-6698

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GOLF SURGICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

LGH a Golf Astc LLC Dba Golf Surgical CenterCCN 14C0001039

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 2

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

• Nicholas A. Lygizos, M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1841282126
  NPD (past)
• John J Moy, MD

  • Ophthalmology Physician
  • Park Ridge, IL
  • NPI 1700804853
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1124029384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-299-2273",
            "fax_number": "847-299-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-299-2273",
            "fax_number": "847-299-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGH-A/GOLF ASTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "KIRKMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-321-6698",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490001093",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "545",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLF SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLF SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elliott Levy, D.D.S.
• Lisa Jan Levy
• Mark Levy, D.D.S.
• Gerald H. Lewis, M.D
• Leida Lewis, PT, DPT
• Lifecare Chiropractic & Wellness, SC
• Giana Lilas
• Ruphy A. Lim, APRN, FNP-BC, NP-C
• Lina Liu, Psy.D., Inc.
• Angelica Lintag, P.T.

• Ambulatory Surgical Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, 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 Jul 17, 2018; 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.