Progressive Surgical Associates SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036103521 Issued in IL

Legal business name

PROGRESSIVE SURGICAL ASSOCIATES SC

Practice address

1890 Silver Cross Blvd
Suite 410
New Lenox, IL 60451-9524

Phone

(815) 717-8730

Fax

(815) 717-8729

NPI assigned

Jul 9, 2009

Last updated

Aug 9, 2012By 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

Reza Gamagami, MDNPI 1275517153

Title

Owner

Phone

(815) 717-8730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHDHAA

Practitioners 13

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.

• Reza Alex Gamagami, M.D.

  • Surgery Physician
  • New Lenox, IL
  • NPI 1275517153
  Medicare reassignment Care Compare group NPD Authorized official
• Erik Borncamp, MD

  • Surgery Physician
  • New Lenox, IL
  • NPI 1689647661
  Medicare reassignment Care Compare group NPD
• Lauren Michele Ghee, M.D.

  • Surgery Physician
  • Joliet, IL
  • NPI 1821345349
  Medicare reassignment Care Compare group NPD
• Nikesh Lath, M.D

  • Surgery Physician
  • New Lenox, IL
  • NPI 1194012260
  Medicare reassignment Care Compare group NPD
• Laura Ragauskaite, M.D.

  • Surgery Physician
  • New Lenox, IL
  • NPI 1720234222
  Medicare reassignment Care Compare group NPD
• Kevin Boyd Ricci, MD

  • Surgery Physician
  • Skokie, IL
  • NPI 1649665290
  Medicare reassignment Care Compare group NPD
• Jennifer Clark, P. A.

  • Surgical Physician Assistant
  • Hinsdale, IL
  • NPI 1114479052
  Medicare reassignment Care Compare group
• Joelle Rickey, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Orland Park, IL
  • NPI 1225164015
  Medicare reassignment Care Compare group
• Jorge Rivera, PA-C

  • Physician Assistant
  • Henderson, NV
  • NPI 1760208318

  IL

  Medicare reassignment Care Compare group
• Sachin Patil, MD

  • Surgery Physician
  • Champaign, IL
  • NPI 1821355363
  NPD
• Stephanie Wascher, APRN

  • Nurse Practitioner
  • River Forest, IL
  • NPI 1760149900

  Single Specialty

  NPD
• Kenneth Park, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1194973768
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1154550226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 410",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8730",
            "fax_number": "815-717-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 410",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8730",
            "fax_number": "815-717-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SURGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "GAMAGAMI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-717-8730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036103521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Occupational Health at Silver Cross LLC
• Premier Psychiatric Services LLC
• Shelby Preston, DC
• Primary Care for U Inc;
• Professional Medical & Surgical Supply, Inc
• Gregory E. Pronger II
• Alyssa Protich, PA-C
• Psychiatric Services PC (Tom Lelio PC)
• Ptmode LLC
• Surekha Purohit-Buch, M.D.

• Surgery Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.