NPIMap

Organization Active NPI

Stat Surgical Assist

  • Surgical Assistant
  • Chicago, IL
National Provider Identifier
1386975514
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238.000223 Issued in IL
Legal business name
STAT SURGICAL ASSIST
Practice address
2611 W Crystal St
Chicago, IL 60622-2813
Phone
(708) 824-7828
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Miguel Espinal
Title
President
Phone
(708) 824-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 238.000223 IL Primary

Addresses

Primary practice location

2611 W Crystal St
Chicago, IL 60622-2813

Mailing address

PO Box 221300
Chicago, IL 60622-0040
Phone (708) 824-7828

Other names 1

  • STAT-SA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1386975514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220040",
            "telephone_number": "708-824-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W CRYSTAL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222813",
            "telephone_number": "708-824-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "ESPINAL",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-824-7828"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT-SA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 28, 2010; 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.