Chief Surgical Assistants

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

CHIEF SURGICAL ASSISTANTS

Practice address

1248 Berry LN
Flossmoor, IL 60422

Phone

(708) 215-1604

NPI assigned

Nov 25, 2017

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keshawn Gardner, CSFANPI 1437541190

Title

Surgical Assistant

Phone

(708) 215-1604

Specialties & licenses 1

Addresses

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.

• Keshawn Gardner, CSFA

  • Surgical Assistant
  • Flossmoor, IL
  • NPI 1437541190
  NPD (past) Authorized official

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1245744515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 BERRY LN",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 BERRY LN",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-215-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEF SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-25",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KESHAWN",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "708-215-1604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.