Silver Lining Surgeons, S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036112458 Issued in IL

Legal business name

SILVER LINING SURGEONS, S.C.

Practice address

1890 Silver Cross Blvd
Ste 560
New Lenox, IL 60451-9508

Phone

(815) 714-9362

Fax

(815) 846-1777

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Shishin Yamada, MDNPI 1962411793

Title

President

Phone

(815) 714-9362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Shishin Yamada, M.D.

  • Surgery Physician
  • New Lenox, IL
  • NPI 1962411793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1245568492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 560",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-714-9362",
            "fax_number": "815-846-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 560",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-714-9362",
            "fax_number": "815-846-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LINING SURGEONS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "SHISHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-714-9362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036112458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Cross Hospital & Medical Centers
• Silver Cross Hospital & Medical Centers
• Silver Cross Hospital & Medical Centers
• Silver Cross Hospital and Medical Centers
• Silver Cross Mso LLC
• Silver Oaks Behavioral, LLC
• Silver Oaks Behavioral, LLC
• Silver Pharmacy, Inc.
• Silver Pharmacy, Inc.
• Marchelle D Simmons, D. C.

• Surgery Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.