DMG Pain Management Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003162 Issued in IL

Legal business name

DMG PAIN MANAGEMENT SURGERY CENTER, LLC

Practice address

2940 Rollingridge Rd
Ste 200
Naperville, IL 60564-4226

Phone

(630) 303-5304

Fax

(630) 527-0417

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

John J Gashkoff, MDNPI 1356309694

Title

Medical Director

Phone

(630) 303-5304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Pain Management Surgical Center of Du Page Medical GroupCCN 14C0001149

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Lisle, IL
  • NPI 1679811095

  Member Of

  NPD member

Locations

Practitioners 6

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

• John J. Gashkoff, M.D.

  • Interventional Pain Medicine Physician
  • Naperville, IL
  • NPI 1356309694
  NPD Authorized official
• Paul Merrick, MD

  • Urology Physician
  • Lisle, IL
  • NPI 1679541643
  NPD
• Ryan Kuta, DO

  • Pain Medicine (Anesthesiology) Physician
  • Naperville, IL
  • NPI 1851882278
  NPD (past)
• Paul Manganelli, M.D.

  • Interventional Pain Medicine Physician
  • Naperville, IL
  • NPI 1841247236
  NPD (past)
• Rabiul Ryan, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Lockport, IL
  • NPI 1841782844
  NPD (past)
• Yousuf Sayeed, M.D.

  • Interventional Pain Medicine Physician
  • Naperville, IL
  • NPI 1932155926
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1306135298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 ROLLINGRIDGE RD",
            "address_2": "STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644226",
            "telephone_number": "630-303-5304",
            "fax_number": "630-527-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 ROLLINGRIDGE RD",
            "address_2": "STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644226",
            "telephone_number": "630-303-5304",
            "fax_number": "630-527-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG PAIN MANAGEMENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "GASHKOFF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-303-5304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elton Wade Dixon, MD
• Mark Richard Dixon, PH.D. BCBA-D
• DK Chiropractic Wellness Center LLC
• DLD Clinical Associates, LLC
• Caroline Dluski Guerra, DNP
• Brian DO
• Helen DO, PSYD
• Douglas Dobson, MD
• Pamela Dockstader-Ortiz, PSY.D.
• Doctors Immediate Care

• Ambulatory Surgical Clinic/Center in Naperville, IL
• Providers in Naperville, 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 Sep 8, 2016; 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.