Surgicore, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003072 Issued in IL

Legal business name

SURGICORE, INC.

Practice address

10547 S Ewing Ave
Chicago, IL 60617-6220

Phone

(773) 221-1690

Fax

(773) 221-1675

NPI assigned

Sep 27, 2006

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Andrew Wood, D.P.M.NPI 1740222694

Title

Medical Director

Phone

(773) 221-1690

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Andrew Wood, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1740222694
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1154412120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176220",
            "telephone_number": "773-221-1690",
            "fax_number": "773-221-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176220",
            "telephone_number": "773-221-1690",
            "fax_number": "773-221-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-221-1690",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical & Medical Devices LLC
• Surgical Assistants of Chicago LLC
• Surgical Center for Human Reproduction, LLC
• Surgical Oncologists PC
• Surgical Specialty Center, LTD.
• Nicole Marie Surico, PT, DPT
• Aleksandar Surjancev, MD
• Samantha Emma Surkis
• Alexandra Lynne Surman, PA
• Katherine Reid Surmeier, L.C.S.W.

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Aug 11, 2011; 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.