Joliet Surgery Center Limited Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JOLIET SURGERY CENTER LIMITED PARTNERSHIP

Doing business as

Amsurg Surgery Center

Practice address

998 N 129TH Infantry Dr
Joliet, IL 60435-3159

Phone

(815) 744-3000

NPI assigned

Apr 23, 2006

Last updated

Apr 3, 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

Susan Sorg Jr.

Title

Chief Administrative Officer

Phone

(815) 744-3000

Specialties & licenses 1

Addresses

Other names 1

• Amsurg Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Joliet Surgery Center Limited PartnershipCCN 14C0001005

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Bradley D. Dworsky, M.D.

  • Orthopaedic Surgery Physician
  • Joliet, IL
  • NPI 1689762452
  NPD (past)
• Firdaus Hashim, MD

  • Pain Medicine (Anesthesiology) Physician
  • Naperville, IL
  • NPI 1497709059
  NPD (past)

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

{
    "created_epoch": "1145750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1255397808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353159",
            "telephone_number": "815-744-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353159",
            "telephone_number": "815-744-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET SURGERY CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-23",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "SORG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "815-744-3000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amsurg Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joliet School District 86
• Joliet Skilled Nursing Facility LLC (Avantara Joliet)
• Joliet Sleep Center Inc
• Joliet Smile World Dental Center, Inc.
• Joliet Smiles (Dentistry with a Smile Joliet)
• Joliet Surgical Facility
• Joliet Surgicare, P.C.
• Joliet Terrace Operator LLC
• Joliet TWP HS Fist 204
• Joliet Womens Health Center

• Ambulatory Surgical Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.