Keystone Orthopedic Specialists S C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KEYSTONE ORTHOPEDIC SPECIALISTS S C

Practice address

3330 West 177TH St
Suite 2C
Hazel Crest, IL 60429

Phone

(708) 799-1144

Fax

(708) 799-4899

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Martin Hall

Title

Owner

Phone

(708) 799-1144

Specialties & licenses 5

Addresses

Other identifiers 5

Locations

Practitioners 5

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

• Nitet Charo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago Heights, IL
  • NPI 1245429802
  NPD (past)
• Blair Andrew Rhode, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orland Park, IL
  • NPI 1740473081
  NPD (past)
• Johnny C Rossi, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
  • NPI 1659544799
  NPD (past)
• Donald J Cally, MD

  • Orthopaedic Surgery Physician
  • Albany, NY
  • NPI 1396834347
  NPD (past)
• Mark K Chang, M.D.

  • Orthopaedic Surgery Physician
  • Dyer, IN
  • NPI 1871607507
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1528020559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 WEST 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1144",
            "fax_number": "708-799-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 WEST 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1144",
            "fax_number": "708-799-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORTHOPEDIC SPECIALISTS S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-799-1144"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036074003",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE8619",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE8620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000095658",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01620925",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "367659000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karriem'S Developmental Services
• Khatera Karzai, DO
• Tanjeev Kaur, M.D.
• Kyriaki M Keenan, PA-C
• Keith Renfroe
• Keystone Surgicare Inc
• Shahzaib Khan, DO
• Julie Kim, MD
• Solomon Kim, M.D.
• Lou Ann Kinsella, RD, LDN

• Orthopaedic Surgery Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.