P D Medical, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036092116 Issued in IL

Legal business name

P D MEDICAL, S.C.

Doing business as

P & D Medical, S.C.

Practice address

4201 W 95TH St
Oak Lawn, IL 60453-2615

Phone

(708) 636-1466

Fax

(708) 636-0264

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter B. Dragisic, M.D.NPI 1205932332

Title

Co-Owner

Phone

(708) 636-1466

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• P & D Medical, S.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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, and the practitioner matching its NPPES authorized official.

• Peter B. Dragisic, M.D.

  • Family Medicine Physician
  • Oak Lawn, IL
  • NPI 1205932332
  Medicare reassignment Care Compare group NPD Authorized official
• Amit Agarwal, MD

  • Family Medicine Physician
  • Oak Lawn, IL
  • NPI 1568773117
  Medicare reassignment Care Compare group NPD
• Amy Fisher

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1790464857
  Medicare reassignment NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1124129697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "708-636-1466",
            "fax_number": "708-636-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "708-636-1466",
            "fax_number": "708-636-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P D MEDICAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "DRAGISIC",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-636-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036092116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636324",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6568",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016092116",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & D Medical, S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myah Overstreet
• Earl Philip Ow, MD
• Lindsay Nicole Owens
• Elaine O'Grady Owsianiak, PT
• Chiemelie Oziligbo, MD
• Amy Pacella, N.P.
• Mia Janae Padilla
• Carlo G Pagni, DDS
• Jessie Jean Pagotelis, LCSW
• Magdalena Maria Pajak, PT, DPT

• Family Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.