Michael J Verta Jr, MDSC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MICHAEL J VERTA JR, MDSC

Practice address

1000 Central St
Suite 800
Evanston, IL 60201-1777

Phone

(847) 205-0050

Fax

(847) 256-2931

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Michael J Verta Jr., MDNPI 1922028091

Title

President

Phone

(847) 205-0050

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Michael James Verta, MD

  • Vascular Surgery Physician
  • Winfield, IL
  • NPI 1922028091
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275645590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RALEIGH RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431253",
            "telephone_number": "847-205-0050",
            "fax_number": "847-256-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRAL ST",
            "address_2": "SUITE 800",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011777",
            "telephone_number": "847-205-0050",
            "fax_number": "847-256-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J VERTA JR, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-205-0050",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "21607920",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Joseph Meyrose, PT
• Kristy Ranae Meza
• MHP Counseling PLLC
• Michael a Conforti LCSW Inc (Michael Conforti LCSW)
• Michael England, Psy.D., P.C.
• Michael W Frank M D LLC
• Amanda L. Michalek, APN-CNP
• Zachary David Michalicek, D.O.
• Michelle Ferris, LCSW, PLLC
• Margaret Gross Michelson, M.D.

• Vascular Surgery Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Vascular Surgery Physician in Illinois

• 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.