NPIMap

Organization Active NPI

Hands on Surgical Assist Inc

  • Surgical Assistant
  • Morris, IL
National Provider Identifier
1871798918
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238000090 Issued in IL
Legal business name
HANDS ON SURGICAL ASSIST INC
Practice address
2434 Chestnut LN
Morris, IL 60450-1038
Phone
(815) 252-7453
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dawn M Ingram, RSA-C
Title
Owner
Phone
(815) 252-7453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 238000090 IL Primary

Addresses

Primary practice location

2434 Chestnut LN
Morris, IL 60450-1038

Mailing address

PO Box 309
Monee, IL 60449-0309
Phone (708) 534-2168

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1871798918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604490309",
            "telephone_number": "708-534-2168",
            "fax_number": "708-328-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 CHESTNUT LN",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501038",
            "telephone_number": "815-252-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ON SURGICAL ASSIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-252-7453",
        "authorized_official_credential": "RSA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.