Serenity Surgical Services SC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SERENITY SURGICAL SERVICES SC

Practice address

8830 S Roberts Rd
Hickory Hills, IL 60457-1514

Phone

(312) 925-3260

Fax

(888) 886-4464

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Hermon Toney III, CSA

Title

Ceo

Phone

(312) 925-3260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1669850541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26975",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266975",
            "telephone_number": "904-503-1132",
            "fax_number": "888-886-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571514",
            "telephone_number": "312-925-3260",
            "fax_number": "888-886-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SURGICAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "HERMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-925-3260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.