Skyline Surgical Assisting PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SKYLINE SURGICAL ASSISTING PLLC

Practice address

2508 Reflections Dr
Crest Hill, IL 60403-1777

Phone

(815) 997-3487

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Etoi FarleyNPI 1366689283

Title

Owner

Phone

(815) 997-3568

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Etoi Farley, RSA

  • Surgical Assistant
  • Houston, TX
  • NPI 1366689283
  NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1467183855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2912",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604342912",
            "telephone_number": "815-997-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 REFLECTIONS DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031777",
            "telephone_number": "815-997-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE SURGICAL ASSISTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "ETOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-997-3568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schroeder, CCC-SLP
• Elizabeth Semkiu, D.O
• Ahmed Shareef, DMD
• Meredith Simpson, MS, ATC
• Katherine J Skurski, DNP,FNP-BC,PMHNP-BC
• Robert Scott Springer, DO
• Andrea Stampley, MD
• The Inn at Willow Falls
• Thomas B Braun DDS PC
• Triumph Radiology, Inc.

• Surgical Assistant in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.