Organization Active NPI

Surgical Practice, LTD

  • Surgery Physician
  • Naperville, IL
National Provider Identifier
1174622971
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
042-005386 Issued in IL
Legal business name
SURGICAL PRACTICE, LTD
Practice address
1980 Three Farms Ave
Suite 108
Naperville, IL 60540-1135
Phone
(630) 527-6300
Fax
(630) 527-6307
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. William Gregory Ward, MD
Title
President
Phone
(630) 527-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 042-005386 IL Primary

Addresses

Primary practice location

1980 Three Farms Ave
Suite 108
Naperville, IL 60540-1135

Mailing address

1980 Three Farms Ave
Suite 108
Naperville, IL 60540-1135
Phone (630) 527-6300

National Provider Directory

National Provider Directory

Locations

1980 Three Farms Ave
Ste 108
Naperville, IL 60540
Phone (630) 527-6300

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1174622971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 THREE FARMS AVE",
            "address_2": "SUITE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401135",
            "telephone_number": "630-527-6300",
            "fax_number": "630-527-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 THREE FARMS AVE",
            "address_2": "SUITE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401135",
            "telephone_number": "630-527-6300",
            "fax_number": "630-527-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PRACTICE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "042-005386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.