Active NPI
Sky Surgical
- Surgical Assistant
- Tinley Park, IL
National Provider Identifier
1336804350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- SKY SURGICAL
- Practice address
- 6743 S Pointe Dr Unit 3C
Tinley Park, IL 60477-6291 - Phone
- (920) 378-9266
- NPI assigned
- Nov 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yogesh Sutrave
- Title
- Owner
- Phone
- (920) 378-9266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
6743 S Pointe Dr Unit 3C
Tinley Park, IL 60477-6291
Mailing address
PO Box 523
Tinley Park, IL 60477-0523
Phone (920) 378-9266
National Provider Directory
National Provider Directory- Tax ID family
- Sky Surgical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Physician Assistant
- Tinley Park, IL
- NPI 1215692173
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Tinley Park, IL
- NPI 1831474279
Surgical Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635984000000",
"number": "1336804350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604770523",
"telephone_number": "920-378-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6743 S POINTE DR UNIT 3C",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776291",
"telephone_number": "920-378-9266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKY SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A",
"authorized_official_last_name": "SUTRAVE",
"authorized_official_first_name": "YOGESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-378-9266"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.