Organization Active NPI

United Surgical Assistants, Inc

  • Surgical Technologist
  • Bourbonnais, IL
National Provider Identifier
1194885137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
UNITED SURGICAL ASSISTANTS, INC
Practice address
750 Almar Pkwy
Suite 205
Bourbonnais, IL 60914-2315
Phone
(815) 933-3955
Fax
(815) 933-3944
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Paula Jacobi
Title
Business Manager
Phone
(815) 933-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X IL Primary

Addresses

Primary practice location

750 Almar Pkwy
Suite 205
Bourbonnais, IL 60914-2315

Mailing address

750 Almar Pkwy
Suite 205
Bourbonnais, IL 60914-2315
Phone (815) 933-3955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194885137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 205",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-933-3955",
            "fax_number": "815-933-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 205",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-933-3955",
            "fax_number": "815-933-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGICAL ASSISTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-933-3955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.