Active NPI
Vosit Ermatov, RSA
- Surgical Assistant
- Downers Grove, IL
National Provider Identifier
1942747720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000530
- Practice address
- 6330 Belmont Rd Ste 5
Downers Grove, IL 60516-2126 - Phone
- (630) 241-1933
- Fax
- (832) 804-8896
- NPI assigned
- Jan 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 238000530 | IL | |
| Surgical Assistant | 246ZC0007X | 238000530 | IL | Primary |
Addresses
Primary practice location
6330 Belmont Rd Ste 5
Downers Grove, IL 60516-2126
Mailing address
6330 Belmont Rd Ste 5
Downers Grove, IL 60516-2126
Phone (630) 241-1933
Other practice location 1
7324 Southwest Fwy
Suite 1550
Houston, TX 77074-2012
Phone (713) 779-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000530 | IL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicagoland Surgical Assistants Inc. | Current | Accepting new patients | |
| Allied Alpha Assistants, Inc | Past | Accepting new patients |
Locations
6330 Belmont Rd
Ste 5
Downers Grove, IL 60516
Phone (630) 241-1933
7324 Southwest Fwy
Ste 1550
Houston, TX 77074
Phone (832) 436-4273
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Downers Grove, IL
- NPI 1750919155
-
- Specialist
- Downers Grove, IL
- NPI 1073691135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942747720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 BELMONT RD STE 5",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605162126",
"telephone_number": "630-241-1933",
"fax_number": "832-804-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 BELMONT RD STE 5",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605162126",
"telephone_number": "630-241-1933",
"fax_number": "832-804-8896"
}
],
"practiceLocations": [
{
"address_1": "7324 Southwest Fwy",
"address_2": "Suite 1550",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770742012",
"country_code": "US",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERMATOV",
"first_name": "VOSIT",
"credential": "RSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "238000530",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.