Organization Active NPI

DS Medical Support LLC

  • Surgical Physician Assistant
  • Gurnee, IL
National Provider Identifier
1851875157
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
DS MEDICAL SUPPORT LLC
Practice address
1449 Woodbury Cir
Gurnee, IL 60031-5602
Phone
(847) 508-4081
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Mr. Dainius SkripkauskasNPI 1649355546
Title
Ceo
Phone
(847) 508-4081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1449 Woodbury Cir
Gurnee, IL 60031-5602

Mailing address

1449 Woodbury Cir
Gurnee, IL 60031-5602
Phone (847) 508-4081

National Provider Directory

National Provider Directory

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1851875157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 WOODBURY CIR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315602",
            "telephone_number": "847-508-4081",
            "fax_number": "888-886-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 WOODBURY CIR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315602",
            "telephone_number": "847-508-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS MEDICAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SKRIPKAUSKAS",
        "authorized_official_first_name": "DAINIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-508-4081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.