Organization Active NPI

Huang Surgical Clinic LTD.

  • Surgery Physician
  • Jerseyville, IL
National Provider Identifier
1841471497
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HUANG SURGICAL CLINIC LTD.
Practice address
270 Maple Summit Rd
Jerseyville, IL 62052-2004
Phone
(618) 498-5722
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Susan Huang
Title
Office Manager
Phone
(618) 498-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X IL Primary

Addresses

Primary practice location

270 Maple Summit Rd
Jerseyville, IL 62052-2004

Mailing address

270 Maple Summit Rd
Jerseyville, IL 62052-2004

Other identifiers 1

IdentifierTypeStateIssuer
036058487MedicaidIL

National Provider Directory

National Provider Directory

Locations

3414 College Ave
Alton, IL 62002
Phone (618) 462-0098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1841471497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522004",
            "telephone_number": "618-498-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUANG SURGICAL CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-498-5722"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058487",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.