Bmi Surgery SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036077839 Issued in IL

Legal business name

BMI SURGERY SC

Practice address

1890 Silver Cross Blvd
Suite 260
New Lenox, IL 60451-9524

Phone

(815) 717-8744

Fax

(815) 717-8339

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Christopher D Joyce, MD

Title

Owner

Phone

(815) 717-8744

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1239/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Wendy Ann Dyer, APN

  • Family Nurse Practitioner
  • New Lenox, IL
  • NPI 1770903635
  Medicare reassignment NPD
• Brian E Lahmann, M.D.

  • Surgery Physician
  • New Lenox, IL
  • NPI 1346381837
  Medicare reassignment NPD
• Marisa M Schrum, FNP-BC

  • Family Nurse Practitioner
  • New Lenox, IL
  • NPI 1235618927
  Medicare reassignment NPD

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1578765210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 260",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8744",
            "fax_number": "815-717-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 260",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-717-8744",
            "fax_number": "815-717-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMI SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-717-8744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036077839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077839",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111197",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Margaret Biggs
• Jennifer Blaszczyk
• David Blatzheim Hickey
• Ashley Blocker
• Deanna R Blyth, LPC
• Christine Anne Bodzianowski
• Syed Saqib Abrar Bokhari, M.D.
• Melissa Kay Bollinger, O.D.
• Erik Borncamp, MD
• Kristen Waye Boros

• Surgery Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.