Midwest Integrated Surgeons, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MIDWEST INTEGRATED SURGEONS, PLLC

Practice address

5875 E Riverside Blvd
Rockford, IL 61114-4937

Phone

(815) 381-7431

NPI assigned

Jun 15, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Elmer

Title

Manager, Credentialing and Risk Man

Phone

(815) 381-7431

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harjot K Thind-Deol, MD

  • Neurological Surgery Physician
  • Gresham, OR
  • NPI 1992123707
  NPD (past)

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1740840404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-381-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-381-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INTEGRATED SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING AND RISK MAN",
        "authorized_official_telephone_number": "815-381-7431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Michalsen, D.O.
• Michael C Michelotti, MD
• Joseph Micho, MD
• Kelcy M Micklos
• Midtown Family Chiropractic
• Midwest Medical Institute S.C.
• Midwest Reproductive Health
• Midwest Surgical Care Center, LTD
• Kenneth W Mihelich, MD
• Sara Ann Mijal, MD

• All providers in Rockford, IL
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.