Organization Active NPI

Suburban Plastic Surgery, S.C.

  • Plastic Surgery Physician
  • Oak Lawn, IL
National Provider Identifier
1225251424
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SUBURBAN PLASTIC SURGERY, S.C.
Practice address
5346 W 95TH St
Oak Lawn, IL 60453-2452
Phone
(708) 636-8222
Fax
(708) 636-9798
NPI assigned
Apr 10, 2007
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Ramasamy Kalimuthu, M.D.NPI 1366448128
Title
President
Phone
(708) 636-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X

Addresses

Primary practice location

5346 W 95TH St
Oak Lawn, IL 60453-2452

Mailing address

5346 W 95TH St
Oak Lawn, IL 60453-2452
Phone (708) 636-8222

National Provider Directory

National Provider Directory

Locations

5346 W 95th St
Oak Lawn, IL 60453
Phone (312) 636-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1225251424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532452",
            "telephone_number": "708-636-8222",
            "fax_number": "708-636-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532452",
            "telephone_number": "708-636-8222",
            "fax_number": "708-636-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PLASTIC SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KALIMUTHU",
        "authorized_official_first_name": "RAMASAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.