Gyuzelev MD Surgical Assistance LLC

Primary specialty

Orthopedic AssistantTaxonomy code 246ZX2200X

Legal business name

GYUZELEV MD SURGICAL ASSISTANCE LLC

Practice address

314 Wilmington CT
Woodstock, IL 60098-7859

Phone

(815) 307-5005

NPI assigned

Feb 1, 2023

Last updated

Feb 1, 2023By 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

Dr. Petar Gyuzelev, MDNPI 1164823696

Title

First Surgical Assistant/Manager

Phone

(815) 307-5005

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.

• Petar Gyuzelev, MD, RSA

  • Surgical Assistant
  • Woodstock, IL
  • NPI 1164823696
  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1659077725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WILMINGTON CT",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WILMINGTON CT",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987859",
            "telephone_number": "815-307-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYUZELEV MD SURGICAL ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GYUZELEV",
        "authorized_official_first_name": "PETAR",
        "authorized_official_title_or_position": "FIRST SURGICAL ASSISTANT/MANAGER",
        "authorized_official_telephone_number": "815-307-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharina Gounaris, BSW, CDVP
• Katherine J Graham, MSW, LSW
• Ashleigh Lucy Annette Gregory, BCBA
• Roger C Gronau, PHD
• Shannon Guzick, PTA
• Petar Gyuzelev, MD, RSA
• Melanie Hahndorf
• Meg M Hainer, MD
• Linda Mary Hall
• Rebecca Hanover, PTA

• Other Specialist/Technologist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Other Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.