Ravine Way Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RAVINE WAY SURGERY CENTER, LLC

Practice address

2350 Ravine Way
Ste. 500
Glenview, IL 60025-7621

Phone

(847) 998-5680

Fax

(847) 998-6365

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

James L. Fox, MD

Title

Manager

Phone

(847) 998-5680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Ravine Way Surgery Center LLCCCN 14C0001128

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Highland Park, IL
  • NPI 1609817220

  Member Of

  NPD member
• Illinois Bone and Joint Institute, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1982241386

  Member Of

  NPD member

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1457385668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY",
            "address_2": "STE. 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-998-5680",
            "fax_number": "847-998-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY",
            "address_2": "STE. 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-998-5680",
            "fax_number": "847-998-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINE WAY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-998-5680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Rapisarda, M.D.
• Kelsi Rarick, MS, CCC-SLP
• Emmaline Rasmussen, R.D.
• Bhakti Ratnakar, PTA
• Sharvi M Raval, APRN
• Jasmine Ravji, P.T.
• Tanza Rawls, P.T.
• Daniel William Ray, MD
• Jhoana Rayo, PHYSICAL THERAPIST
• Mona Raziq-Joyce, OTR/L

• Ambulatory Surgical Clinic/Center in Glenview, IL
• Providers in Glenview, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.