Surgical Associates, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036059121 Issued in IL

Legal business name

SURGICAL ASSOCIATES, S.C.

Practice address

800 Austin St
East Tower Suite 563
Evanston, IL 60202-3439

Phone

(847) 869-0522

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mary Luz Lopez

Title

Office Manager

Phone

(847) 869-0522

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Andrea Elizabeth Geddes, MD, MS

  • Surgical Critical Care Physician
  • Maywood, IL
  • NPI 1225529381
  NPD
• Dean Kristl, M.D.

  • Surgery Physician
  • Evanston, IL
  • NPI 1790040988
  NPD (past)
• Craig Andrew Ternovits, MD

  • Surgery Physician
  • Hermitage, TN
  • NPI 1063520666

  Specialist

  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1144493826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "EAST TOWER SUITE 563",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-869-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "EAST TOWER SUITE 563",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-869-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-869-0522"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036059121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-059121",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "31600566",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Supple, PA-C
• Stjepan Surbek, MD
• Avni Suresh, APN-CRNA
• Sunitha Chitra Suresh, MD
• Renee Surgi, LCSW
• Tanya Surprenant
• Susan H Bowker, Professional Corp
• Mira Suseno, PHARMD
• Janet Sushinski, LCSW
• Marilyn Ina Susman, PH.D.

• Specialist in Evanston, IL
• Providers in Evanston, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.