Active NPI
G. Spitz, M.D., LTD
- Surgery Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- G. SPITZ, M.D., LTD
- Practice address
- 1256 Waterford Dr
Suite 130
Aurora, IL 60504-4510 - Phone
- (630) 820-2727
- Fax
- (630) 820-7427
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lornell E Hansen II, MD
- Title
- Owner
- Phone
- (605) 274-0217
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1256 Waterford Dr
Suite 130
Aurora, IL 60504-4510
Mailing address
1256 Waterford Dr
Suite 130
Aurora, IL 60504-4510
Phone (630) 820-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216477 | Other | PTAN MEDICARE |
Other names 1
- SPITZ & BRAXTON, LTD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1256 Waterford Dr
Ste 130
Aurora, IL 60504
Phone (630) 820-2727
5980 Route 53
Ste D
Lisle, IL 60532
Phone (630) 515-8930
2210 Dean St
Ste N1
St Charles, IL 60175
Phone (630) 513-9077
2210 Dean St
Ste G
St Charles, IL 60175
Phone (630) 820-2727
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1881640233
IL, Phlebology
-
- Surgery Physician
- Aurora, IL
- NPI 1194409409
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lima, OH
- NPI 1427214790
IL
-
- Emergency Medicine Physician
- Oak Lawn, IL
- NPI 1134240252
-
- Surgery Physician
- Aurora, IL
- NPI 1396859781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1457465866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 WATERFORD DR",
"address_2": "SUITE 130",
"city": "AURORA",
"state": "IL",
"postal_code": "605044510",
"telephone_number": "630-820-2727",
"fax_number": "630-820-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 WATERFORD DR",
"address_2": "SUITE 130",
"city": "AURORA",
"state": "IL",
"postal_code": "605044510",
"telephone_number": "630-820-2727",
"fax_number": "630-820-7427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G. SPITZ, M.D., LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "LORNELL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-274-0217",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN MEDICARE",
"identifier": "216477",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPITZ & BRAXTON, LTD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.