Active NPI
Jennifer Marie Orozco, PA-C
- Surgical Physician Assistant
- Chicago, IL
National Provider Identifier
1396715017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 85-002136
- Practice address
- 1725 W Harrison St
Suite#1156
Chicago, IL 60612-3841 - Phone
- (312) 563-2109
- Fax
- (312) 563-4388
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 85-002136 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite#1156
Chicago, IL 60612-3841
Mailing address
600 S Paulina St
761 Aac
Chicago, IL 60612-3806
Phone (312) 942-5407
Other names 1
- Jennifer Marie Frederick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-002136 | IL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current | Accepting new patients | |
| North Shore Cosmetic Surgery & Wellness Center LTD | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 115
Chicago, IL 60612
Phone (312) 829-2540
75 Remittance Dr
Ste 16
Chicago, IL 60675
1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762
Interoperability endpoints
- jorozco2853@direct.rush.rush-health.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
- NPI 1578571055
-
- Internal Medicine Physician
- Niles, IL
- NPI 1598916538
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1720199011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1396715017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"address_2": "761 AAC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-5407",
"fax_number": "312-563-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE#1156",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-2109",
"fax_number": "312-563-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROZCO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "85-002136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FREDERICK",
"middle_name": "MARIE",
"credential": "PA-C",
"code": "1",
"type": "Former 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 Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.