Illinois Valley Surgical Associates, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ILLINOIS VALLEY SURGICAL ASSOCIATES, SC

Practice address

1050 E Norris Dr
Suite 2B
Ottawa, IL 61350-1605

Phone

(815) 433-3745

Fax

(815) 433-6928

NPI assigned

May 4, 2007

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Stanley Kokoszka, M.D.NPI 1659478535

Title

Chairman of the Board

Phone

(815) 433-3745

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Joseph S Kokoszka, MD

  • Surgery Physician
  • Morris, IL
  • NPI 1659478535
  Medicare reassignment NPD Authorized official
• Robert Steven Wojcik Jr., M.D,

  • Surgery Physician
  • Peru, IL
  • NPI 1770673204
  Medicare reassignment NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1427260207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E NORRIS DR",
            "address_2": "SUITE 2B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501605",
            "telephone_number": "815-433-3745",
            "fax_number": "815-433-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E NORRIS DR",
            "address_2": "SUITE 2B",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501605",
            "telephone_number": "815-433-3745",
            "fax_number": "815-433-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VALLEY SURGICAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "KOKOSZKA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "815-433-3745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5007522",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Hoxsey, PT
• Cheng C Hsieh, PA-C
• Illinois Valley Counseling Services
• Illinois Valley Eye Inst
• Illinois Valley Primary Care, LTD
• Infinity-Meds LLP
• Integrative Primary Care Inc
• Kate E Jaegle, APN, CNP
• Amit Brij Jamnadas, M.D.
• Heidi Lynn Janzen, CCC-SLP

• Surgery Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.