Organization Active NPI

Normita Pangan First Surgeon Assists LLC

  • Surgical Assistant
  • Elk Grove VLG, IL
National Provider Identifier
1689210205
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
NORMITA PANGAN FIRST SURGEON ASSISTS LLC
Practice address
800 Biesterfield Rd
Elk Grove VLG, IL 60007-3361
Phone
(847) 437-5500
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Normita S Pangan
Title
First Assist/Surgeon Assist
Phone
(312) 972-9179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove VLG, IL 60007-3361

Mailing address

439 Ferdinand Ave
Forest Park, IL 60130-3199
Phone (312) 972-9179

Other practice location 1

439 Ferdinand Ave
Forest Park, IL 60130-3199
Phone (847) 437-5500

Other identifiers 1

IdentifierTypeStateIssuer
1306383997OtherILNPPES

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL NPFirstSurgeonAssistsLLC@gmail.com Other
Other URL NPFirstSurgeonAssistsLLC@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1689210205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 FERDINAND AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601303199",
            "telephone_number": "312-972-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-437-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 Ferdinand Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601303199",
            "country_code": "US",
            "telephone_number": "847-437-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORMITA PANGAN FIRST SURGEON ASSISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "PANGAN",
        "authorized_official_first_name": "NORMITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRST ASSIST/SURGEON ASSIST",
        "authorized_official_telephone_number": "312-972-9179",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1306383997",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NPFirstSurgeonAssistsLLC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Forest Park",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business address",
            "address_1": "439 Ferdinand Ave",
            "city": "Forest Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601303199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NPFirstSurgeonAssistsLLC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "439 Ferdinand Ave",
            "city": "Forest Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601303199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove VLG, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.