Hania B Bednarski DO SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

HANIA B BEDNARSKI DO SC

Doing business as

Serenity Surgery

Practice address

2227 Vadalabene Dr
Suite 300
Maryville, IL 62062-5823

Phone

(618) 288-2052

Fax

(618) 288-6683

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Hania Bednarski, DO

Title

Owner

Phone

(618) 288-2052

Specialties & licenses 1

Addresses

Other names 1

• Serenity Surgery Doing business as

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1790117596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 VADALABENE DR",
            "address_2": "SUITE 300",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625823",
            "telephone_number": "618-288-2052",
            "fax_number": "618-288-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 VADALABENE DR",
            "address_2": "SUITE 300",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625823",
            "telephone_number": "618-288-2052",
            "fax_number": "618-288-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANIA B BEDNARSKI DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "BEDNARSKI",
        "authorized_official_first_name": "HANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-288-2052",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chandra L Heinlein, OT

• Surgery Physician in Maryville, IL
• Providers in Maryville, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.