Lincolnway Surgical Assistants L.L.C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

LINCOLNWAY SURGICAL ASSISTANTS L.L.C.

Practice address

624 Lilas CT
New Lenox, IL 60451-3453

Phone

(507) 383-3279

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Shuxia Jiang, PH.D.NPI 1669997680

Title

Chief Executive Officer

Phone

(507) 383-3279

Specialties & licenses 2

Addresses

Practitioners 1

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

• Shuxia Jiang, CSA; CSFA

  • Surgical Physician Assistant
  • New Lenox, IL
  • NPI 1669997680

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1376215343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 LILAS CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513453",
            "telephone_number": "507-383-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 LILAS CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513453",
            "telephone_number": "507-383-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNWAY SURGICAL ASSISTANTS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "SHUXIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "507-383-3279",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Liden
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• Lincoln-Way Chiropractic Clinic LLC
• Lincoln-Way High School District 210
• Lincolnway Medical Associates, P.C.
• Sonja Linde, RN
• Kyle Lee Lisowski, LCPC
• Listen Nook
• Little Dragons Pediatric Counseling PLLC
• Little Minds Pediatric Therapy LLC

• Surgical Physician Assistant in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.