SMC Medical Professionals LTD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SMC MEDICAL PROFESSIONALS LTD

Doing business as

Heather Cushing Gynecology

Practice address

800 Roosevelt Rd Ste 114
Glen Ellyn, IL 60137-5839

Phone

(630) 474-2626

Fax

(630) 474-2629

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Tammy Ciotola

Title

Receptionist

Phone

(630) 260-1818

Specialties & licenses 1

Addresses

Other names 1

• Heather Cushing Gynecology Doing business as

Electronic endpoints 1

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

Locations

Practitioners 1

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

• Heather Cushing, MD

  • Obstetrics & Gynecology Physician
  • Glen Ellyn, IL
  • NPI 1023093572
  Medicare reassignment NPD

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1174282610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "BLDG B, SUITE 114",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "636-474-2626",
            "fax_number": "630-474-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE 114",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-474-2626",
            "fax_number": "630-474-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC MEDICAL PROFESSIONALS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CIOTOLA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "630-260-1818"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heathercushinggynecology",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "800 Roosevelt Rd Ste B114",
            "city": "Glen Ellyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601375871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heather Cushing Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dale E Simek, R.PH.
• Kaitlin Dhooghe Sisson, M.S.
• Krisanne Sisto, M.D.
• Skyline Physicians LLC
• Brian A Smart, MD
• Fraser A Smith, LDN
• Jackie Smith
• Jordan Smith, DPT
• Margot Smith, MS, LMFT
• Aladdin Soliman, DMD

• Gynecology Physician in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.