Organization Active NPI

Alice Shau Ping Ma MD SC

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1386881845
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
042.619320 36.061694 Issued in IL
Legal business name
ALICE SHAU PING MA MD SC
Practice address
680 N Lake Shore Dr
Suite 1208
Chicago, IL 60611-8701
Phone
(312) 787-0000
Fax
(312) 335-1681
NPI assigned
Jan 20, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Dr. Alice Shau Ping Ma, M.D.NPI 1679637144
Title
Owner/Doctor
Phone
(312) 787-0000

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
Medical Specialty Clinic/Center 261QM2500X 042.619320 36.061694 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr
Suite 1208
Chicago, IL 60611-8701

Mailing address

680 N Lake Shore Dr
Suite 1208
Chicago, IL 60611-8701
Phone (312) 787-0000

National Provider Directory

National Provider Directory

Locations

680 N Lake Shore Dr
Ste 1208
Chicago, IL 60611
Phone (312) 483-4397

Practitioners & affiliated clinicians

Practitioners 2

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1386881845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118701",
            "telephone_number": "312-787-0000",
            "fax_number": "312-335-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118701",
            "telephone_number": "312-787-0000",
            "fax_number": "312-335-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE SHAU PING MA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "SHAU PING",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "312-787-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "042.619320 36.061694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.