Organization Active NPI

MSPS Surgical Inc.

  • Interventional Pain Medicine Physician
  • Naperville, IL
National Provider Identifier
1588319719
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MSPS SURGICAL INC.
Practice address
1999 Springbrook Square Dr Ste 101
Naperville, IL 60564-5962
Phone
(630) 915-2622
Fax
(630) 378-4592
NPI assigned
Feb 16, 2022
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Front Office Manager
Title
Office Manager
Phone
(630) 915-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1999 Springbrook Square Dr Ste 101
Naperville, IL 60564-5962

Mailing address

3412 Keller LN
Naperville, IL 60565-3561
Phone (630) 915-2622

Other names 2

  • MSPS Surgical Inc. Former legal business name
  • MIDWEST SPORTS AND PAIN SPECIALISTS, P.C. Other name

National Provider Directory

National Provider Directory

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1588319719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 KELLER LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653561",
            "telephone_number": "630-915-2622",
            "fax_number": "630-378-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645962",
            "telephone_number": "630-915-2622",
            "fax_number": "630-378-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSPS SURGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "FRONT OFFICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-915-2622"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSPS Surgical Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MIDWEST SPORTS AND PAIN SPECIALISTS, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MIDWEST SPORTS AND PAIN SPECIALISTS, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.