NPIMap

Organization Active NPI

American Surgeons Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Homewood, IL
National Provider Identifier
1376567958
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
AMERICAN SURGEONS GROUP INC
Practice address
1757 Ridge Rd
Homewood, IL 60430-1812
Phone
(708) 799-7500
Fax
(708) 798-4563
NPI assigned
Jul 27, 2006
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Julia Eve Shauger, DPMNPI 1083628101
Title
President
Phone
(708) 799-7500

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1757 Ridge Rd
Homewood, IL 60430-1812

Mailing address

1757 Ridge Rd
Homewood, IL 60430-1812
Phone (708) 799-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040727000172 IL Part B Supplier - Clinic/Group Practice 1052381332 Receives reassigned benefits from 2 practitioners
Practice locations: Homewood, IL; Mokena, IL; South Chicago Heights, IL
O20071003000106 IN Part B Supplier - Clinic/Group Practice 1052381332 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN
O20100930073006 IL DME Supplier - Physician - Podiatry 1052381332 Practice locations: Homewood, IL

National Provider Directory

National Provider Directory

Locations

3224 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-6300

655 N Lagrange Rd
Ste 205
Frankfort, IL 60423
Phone (815) 464-6885

1757 Ridge Rd
Homewood, IL 60430
Phone (708) 795-7500

1757 Ridge Rd
Ste 101
Homewood, IL 60430

129 N 19th Ave
Melrose Park, IL 60160
Phone (708) 344-4300

19638 S La Grange Rd
Mokena, IL 60448
Phone (815) 464-6885

3042 Chicago Rd
South Chicago Heights, IL 60411
Phone (708) 755-7505

255 E 90th Dr
Ste W2
Merrillville, IN 46410
Phone (219) 756-0400

110 Ridge Rd
#14
Munster, IN 46321
Phone (219) 513-0100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1376567958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "815-215-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "708-798-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGEONS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "SHAUGER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-7500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.