American Surgeons Group Inc
Organization Active NPI Foot & Ankle Surgery Podiatrist · Homewood, IL
NPI 1376567958 · NPPES record last updated Jun 29, 2015
Key facts
- NPI
- 1376567958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 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
- Organization subpart
- No
Authorized official
- Name
- Julia Eve Shauger, DPM
- Title
- President
- Phone
- (708) 799-7500
Practitioners 7
-
Julia Eve Shauger, DPM
-
Neveen Abuali, DPM
-
Angela Agnich, CRNA
-
Michael Agnich, CRNA
-
Craig Allen Murad, DPM
-
Norma Odar, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Ste 101
Homewood, IL 60430
19638 S La Grange Rd
Mokena, IL 60448
Phone (815) 464-6885
3042 Chicago Rd
South Chicago Heights, IL 60411
Phone (708) 755-7505
110 Ridge Rd
#14
Munster, IN 46321
Phone (219) 513-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
1757 Ridge Rd
Homewood, IL 60430-1812
Mailing address
1757 Ridge Rd
Homewood, IL 60430-1812
Phone (708) 799-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK4095 | Other | IL | RAILROAD MEDICARE |
| 01632534 | Other | IL | BCBS |
NPI Registry JSON
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK4095",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01632534",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
- Charles Anthony Amenta III
- American Drug Stores LLC
- American Drug Stores LLC
- American Foot Care Center
- American Foot Care Center Inc
- Lajenora Amos
- Elom Akosua Amuzu
- Charles Nolis Anderson
- Kalise M Anderson
- Rudi Jasmine Anderson
All providers in Homewood, IL · Foot & Ankle Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.