Individual provider Active NPI

Maria Fedyna

  • Surgical Technologist
  • Chicago, IL
National Provider Identifier
1689386989
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
238000288 Issued in IL
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

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
238000288ILMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.