Active NPI
Shapiro Surgical Associates SC
- Surgery Physician
- Chicago, IL
National Provider Identifier
1497775951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SHAPIRO SURGICAL ASSOCIATES SC
- Practice address
- 111 N Wabash Ave
Suite 1709
Chicago, IL 60602-1903 - Phone
- (312) 641-1150
- Fax
- (312) 332-0299
- NPI assigned
- Jul 20, 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
- Dr. David Shapiro, MD
- Title
- President
- Phone
- (312) 641-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave
Suite 1709
Chicago, IL 60602-1903
Mailing address
111 N Wabash Ave
Suite 1709
Chicago, IL 60602-1903
Phone (312) 641-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31601666 | Other | IL | BCBS OF IL |
National Provider Directory
National Provider DirectoryLocations
25 E Washington St
Fl 3
Chicago, IL 60602
Phone (312) 726-3329
111 N Wabash Ave
Ste 1709
Chicago, IL 60602
Phone (312) 641-1150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497775951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-641-1150",
"fax_number": "312-332-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-641-1150",
"fax_number": "312-332-0299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAPIRO SURGICAL ASSOCIATES SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-641-1150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "31601666",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.