Organization Active NPI

Sky Surgical

  • Surgical Assistant
  • Tinley Park, IL
National Provider Identifier
1336804350
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Yogesh SutraveNPI 1831474279
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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Surgical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.