Organization Active NPI

Midway Surgical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
National Provider Identifier
1306357801
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDWAY SURGICAL SERVICES, LLC
Practice address
4740 N Cumberland Ave
Chicago, IL 60656-4239
Phone
(520) 323-8732
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Autumn Romo
Title
Lead Patient Advocate
Phone
(520) 258-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4740 N Cumberland Ave
Chicago, IL 60656-4239

Mailing address

6339 E Speedway Blvd
Tucson, AZ 85710-1147
Phone (520) 323-8732

National Provider Directory

National Provider Directory

Locations

4740 N Cumberland Ave
Chicago, IL 60656

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1306357801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N CUMBERLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564239",
            "telephone_number": "520-323-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "LEAD PATIENT ADVOCATE",
        "authorized_official_telephone_number": "520-258-0307"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.