South Shore Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTH SHORE SURGICAL LLC

Practice address

10110 Donald Powers Drive
Suite 202
Munster, IN 46321-4057

Phone

(219) 922-0222

Fax

(219) 922-8899

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Ann Pellar

Title

Manager

Phone

(219) 922-0222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1841619954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 DONALD POWERS DRIVE",
            "address_2": "SUITE 202",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214057",
            "telephone_number": "219-922-0222",
            "fax_number": "219-922-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD POWERS DRIVE",
            "address_2": "SUITE 202",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214057",
            "telephone_number": "219-922-0222",
            "fax_number": "219-922-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "PELLAR",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-922-0222"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anisha Somani, MD
• Yong Chul Song, M.D.
• Soraj Arora, D.O., P.C.
• Cheryl Ann Sorrels
• Cathryn Sotak, FNP
• South Suburban Surgical Suites, LLC
• Southland Bone & Joint Institute, PSC
• Thereasa Space, PA(ASCP)
• Nicholas Spangler, DAT LAT ATC
• Michael Sparks, MD

• Surgery Physician in Munster, IN
• Providers in Munster, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.