Organization Active NPI

M&M Surgical Assistants

  • Surgical Physician Assistant
  • Plainfield, IL
National Provider Identifier
1710978556
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
M&M SURGICAL ASSISTANTS
Practice address
14855 S. Van Dyke Rd
Suite 636
Plainfield, IL 60544-4326
Phone
(630) 378-3114
NPI assigned
Nov 1, 2005
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Mr. James M Mason, RSANPI 1821283284
Title
President
Phone
(630) 378-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

14855 S. Van Dyke Rd
Suite 636
Plainfield, IL 60544-4326

Mailing address

PO Box 636
Plainfield, IL 60544-0636
Phone (630) 378-3114

National Provider Directory

National Provider Directory

Locations

14855 S Van Dyke Rd
Unit 636
Plainfield, IL 60544
Phone (630) 378-3114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1710978556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440636",
            "telephone_number": "630-378-3114",
            "fax_number": "630-378-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 S. VAN DYKE RD",
            "address_2": "SUITE 636",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444326",
            "telephone_number": "630-378-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-378-3114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.