Active NPI
Integrated Surgical Specialists, PLLC
- Surgery Physician
- Bloomington, IL
National Provider Identifier
1487990420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- INTEGRATED SURGICAL SPECIALISTS, PLLC
- Practice address
- 1505 Eastland Dr
Suite 2300
Bloomington, IL 61701-3534 - Phone
- (309) 662-9022
- Fax
- (309) 662-2091
- NPI assigned
- Dec 19, 2012
- 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
- Dr. David H Naour, MD
- Title
- Partner
- Phone
- (309) 662-9022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1505 Eastland Dr
Suite 2300
Bloomington, IL 61701-3534
Mailing address
1505 Eastland Dr
Suite 2300
Bloomington, IL 61701-3534
Phone (309) 662-9022
Other names 1
- Integrated Surgical Specialists, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bloomington, IL
- NPI 1558393124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1487990420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "SUITE 2300",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-662-9022",
"fax_number": "309-662-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "SUITE 2300",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-662-9022",
"fax_number": "309-662-2091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED SURGICAL SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "NAOUR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "309-662-9022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Surgical Specialists, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.