Organization Active NPI

Peak Surgical Assistant Inc

  • Surgical Assistant
  • Glen Ellyn, IL
National Provider Identifier
1164718706
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
PEAK SURGICAL ASSISTANT INC
Practice address
1188 Royal Glen Dr Apt 315
Glen Ellyn, IL 60137-6032
Phone
(630) 205-5206
Fax
(630) 205-5206
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Maria Klaritis, CSANPI 1285806505
Title
President
Phone
(847) 392-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

1188 Royal Glen Dr Apt 315
Glen Ellyn, IL 60137-6032

Mailing address

PO Box 309
Monee, IL 60449-0309
Phone (630) 205-5206

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1164718706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604490309",
            "telephone_number": "630-205-5206",
            "fax_number": "630-205-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 ROYAL GLEN DR APT 315",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376032",
            "telephone_number": "630-205-5206",
            "fax_number": "630-205-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK SURGICAL ASSISTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KLARITIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-392-8800",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.