Active NPI
Maria Fedyna
- Surgical Technologist
- Chicago, IL
National Provider Identifier
1689386989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238000288
- Practice address
- 1011 N Oakley Blvd Apt 2W
Chicago, IL 60622-3528 - Phone
- (847) 722-3559
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238000288 | IL | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
1011 N Oakley Blvd Apt 2W
Chicago, IL 60622-3528
Mailing address
PO Box 4832
Buffalo Grove, IL 60089-4832
Phone (847) 722-3559
Other practice location 1
1011 N Oakley Blvd Apt 2W
Chicago, IL 60622-3528
Phone (847) 722-3559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000288 | IL | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal First Assistants,Inc. | Surgical Technologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Technologist
- Long Grove, IL
- NPI 1255452157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1689386989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4832",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894832",
"telephone_number": "847-722-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N OAKLEY BLVD APT 2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223528",
"telephone_number": "847-722-3559"
}
],
"practiceLocations": [
{
"address_1": "1011 N Oakley Blvd Apt 2W",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606223528",
"country_code": "US",
"telephone_number": "847-722-3559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDYNA",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238000288",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.