Active NPI
Joan P Kovach, CFA
- Surgical Assistant
- Arlington Heights, IL
National Provider Identifier
1962652917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.00048
- Practice address
- 880 W Central Rd
Suite 5500
Arlington Heights, IL 60005-2355 - Phone
- (847) 368-0006
- Fax
- (847) 368-0008
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.00048 | IL | Primary |
Addresses
Primary practice location
880 W Central Rd
Suite 5500
Arlington Heights, IL 60005-2355
Mailing address
880 W Central Rd
Suite 5500
Arlington Heights, IL 60005-2355
Phone (847) 368-0006
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 |
|---|---|---|---|
| 238.00048 | IL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali N. Shariatzadeh, M.D..,S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Arlington Heights, IL
- NPI 1083807473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1962652917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD",
"address_2": "SUITE 5500",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-368-0006",
"fax_number": "847-368-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 W CENTRAL RD",
"address_2": "SUITE 5500",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052355",
"telephone_number": "847-368-0006",
"fax_number": "847-368-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "JOAN",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.00048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.