Organization Active NPI

Asg Onsite Podiatry of SD 1 PC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1912258922
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ASG ONSITE PODIATRY OF SD 1 PC
Practice address
10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728
Phone
(773) 770-0140
Fax
(312) 277-6757
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Yev Gray, DPM
Title
President/Ceo
Phone
(773) 770-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728

Mailing address

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728
Phone (773) 770-0140

National Provider Directory

National Provider Directory

Locations

10 S Riverside Plz
Ste 19E
Chicago, IL 60606

913 Colonel Pete St S
Clear Lake, SD 57226
Phone (605) 874-2159

1106 N 2nd St
Groton, SD 57445
Phone (605) 397-2365

50 7th St SE
Huron, SD 57350
Phone (605) 352-8533

1100 4th Ave E
Mobridge, SD 57601
Phone (605) 845-7201

1321 W Dow Rummel St
Sioux Falls, SD 57104
Phone (605) 336-1490

225 14th Ave NE
Watertown, SD 57201
Phone (605) 882-8419

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": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1912258922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASG ONSITE PODIATRY OF SD 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YEV",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.