Gold Coast Bariatrics LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GOLD COAST BARIATRICS LLC

Practice address

2540 W Chicago Ave Apt 1
Chicago, IL 60622-8365

Phone

(646) 234-8943

NPI assigned

Jan 30, 2023

Last updated

Apr 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chandra Hassan, MDNPI 1508031824

Title

Owner

Phone

(646) 234-8943

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandra Hassan, M.D.,

  • Surgery Physician
  • Chicago, IL
  • NPI 1508031824
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1932815123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E NORTH WATER ST UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115510",
            "telephone_number": "646-234-8943",
            "fax_number": "888-981-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W CHICAGO AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228365",
            "telephone_number": "646-234-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST BARIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-234-8943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Golan, M.D.
• Bella Goland, M.D.
• Serge Alexander Golber, M.D.
• Gold Body Medspa PLLC
• Gold Coast Anesthesia PLLC
• Gold Coast Clinical Associates Inc
• Gold Coast Diagnostic Services, Inc.
• Gold Coast Gynecology Surgery SC
• Gold Coast Internal Medicine
• Gold Coast Orthopaedic and Spine Surgery S C

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; 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.