Shuxia Jiang, CSA; CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238000557 Issued in IL

Practice address

624 Lilas CT
New Lenox, IL 60451-3453

Phone

(507) 383-3279

Fax

(815) 417-9856

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincolnway Surgical Assistants L.L.C.

  • Surgical Physician Assistant
  • New Lenox, IL
  • NPI 1376215343

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1669997680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 LILAS CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513453",
            "telephone_number": "507-383-3279",
            "fax_number": "815-417-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 LILAS CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513453",
            "telephone_number": "507-383-3279",
            "fax_number": "815-417-9856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Silver Cross Blvd",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519509",
            "country_code": "US",
            "telephone_number": "708-995-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "SHUXIA",
        "credential": "CSA; CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Jarell-Gracious, PT
• Zafer Jawich, M.D.
• Dana Jay, LCPC
• Carly Jensen
• Doris L Jeske, LMT
• Joelle a Wennlund M D LTD
• John M. Lancaster OD PC
• Dora Marie Johns Wolfe, PSY. D.
• Dana Wayne Johnson, DC
• Michelle R Johnson

• Surgical Physician Assistant in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.