U.S. Surgical Associates, Inc.

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

238000112 Issued in IL

Legal business name

U.S. SURGICAL ASSOCIATES, INC.

Practice address

6 Brackley LN
South Barrington, IL 60010-6128

Phone

(847) 312-6328

Fax

(847) 705-9838

NPI assigned

Mar 21, 2007

Last updated

May 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed S GomaaNPI 1467573436

Title

Owner

Phone

(847) 437-5500

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, and the practitioner matching its NPPES authorized official.

• Ahmed S. Gomaa

  • Other Technician
  • South Barrington, IL
  • NPI 1467573436

  Technician, Other

  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1578689758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRACKLEY LN",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106128",
            "telephone_number": "847-312-6328",
            "fax_number": "847-705-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRACKLEY LN",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106128",
            "telephone_number": "847-312-6328",
            "fax_number": "847-705-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "GOMAA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-437-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "IL",
            "license": "238000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Other Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.