Surgical Care Associates LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036090773 Issued in IL

Legal business name

SURGICAL CARE ASSOCIATES LTD

Practice address

6703 159TH St Ste 110
Tinley Park, IL 60477-1782

Phone

(708) 331-1122

Fax

(708) 331-5987

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Ravi M Deshmukh, M.D.

Title

President

Phone

(708) 331-1122

Specialties & licenses 1

Addresses

Electronic endpoints 4

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1851669725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST",
            "address_2": "SUITE 309",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264260",
            "telephone_number": "708-331-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 159TH ST STE 110",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771782",
            "telephone_number": "708-331-1122",
            "fax_number": "708-331-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CARE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-331-1122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036090773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeshmukh@sca.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6703 159th St Ste 110",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeshmukh@sca.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6703 159th St Ste 110",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeshmukh@sca.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6703 159th St Ste 110",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeshmukh@sca.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6703 159th St Ste 110",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Surgery Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.