Organization Active NPI

Surgical Health Associates, LLC

  • Surgery Physician
  • Aurora, IL
National Provider Identifier
1558484022
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL HEALTH ASSOCIATES, LLC
Practice address
2020 Ogden Ave Ste 210
Aurora, IL 60504-5895
Phone
(630) 585-0200
Fax
(630) 585-7396
NPI assigned
Apr 9, 2007
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Allen D Bloom, MDNPI 1851409387
Title
Owner
Phone
(630) 585-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2020 Ogden Ave Ste 210
Aurora, IL 60504-5895

Mailing address

2020 Ogden Ave Ste 210
Aurora, IL 60504-5895
Phone (630) 585-0200

Other names 1

  • Allen D. Bloom, MD, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2020 Ogden Ave
Ste 210
Aurora, IL 60504
Phone (630) 499-4711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1558484022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 210",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045895",
            "telephone_number": "630-585-0200",
            "fax_number": "630-585-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 210",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045895",
            "telephone_number": "630-585-0200",
            "fax_number": "630-585-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-585-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen D. Bloom, MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.