NPIMap

Organization Active NPI

Premier Surgical Assistants

  • Contractor
  • Naperville, IL
National Provider Identifier
1184853137
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
3408 Issued in IL
Legal business name
PREMIER SURGICAL ASSISTANTS
Practice address
568 S Washington St
Naperville, IL 60540-6843
Phone
(630) 369-6200
Fax
(630) 369-7200
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Mr. Wallace L Vinson
Title
Certified Surgical Assistants
Phone
(630) 780-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 3408 IL Primary

Addresses

Primary practice location

568 S Washington St
Naperville, IL 60540-6843

Mailing address

568 S Washington St
Naperville, IL 60540-6843
Phone (630) 369-6200

National Provider Directory

National Provider Directory
Tax ID family
Premier Surgical Assistants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1184853137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406843",
            "telephone_number": "630-369-6200",
            "fax_number": "630-369-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406843",
            "telephone_number": "630-369-6200",
            "fax_number": "630-369-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANTS",
        "authorized_official_telephone_number": "630-780-8642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "IL",
            "license": "3408",
            "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 Jul 13, 2009; 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.