NPIMap

Organization Active NPI

Adventist Health Partners, Inc.

Doing business as AMITA Health Medical Group Breast Surgery

  • Surgery Physician
  • Hinsdale, IL
National Provider Identifier
1457805285
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVENTIST HEALTH PARTNERS, INC.
Doing business as
AMITA Health Medical Group Breast Surgery
Practice address
1 Salt Creek LN
2ND Floor
Hinsdale, IL 60521-2936
Phone
(630) 286-5500
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Ruby Mann
Title
Director of PFS
Phone
(630) 856-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1 Salt Creek LN
2ND Floor
Hinsdale, IL 60521-2936

Mailing address

1 Salt Creek LN
2ND Floor
Hinsdale, IL 60521-2936

Other names 1

  • AMITA Health Medical Group Breast Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarendon Hills Family12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Salt Creek Ln
Fl 2
Hinsdale, IL 60521
Phone (630) 286-5500

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1457805285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SALT CREEK LN",
            "address_2": "2ND FLOOR",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SALT CREEK LN",
            "address_2": "2ND FLOOR",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212936",
            "telephone_number": "630-286-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTOR OF PFS",
        "authorized_official_telephone_number": "630-856-6884"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMITA Health Medical Group Breast Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.