Organization Active NPI

Office Orthopedics & Pain Management Inc.

  • Orthopaedic Surgery Physician
  • Glen Ellyn, IL
National Provider Identifier
1982797205
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36047241 Issued in IL
Legal business name
OFFICE ORTHOPEDICS & PAIN MANAGEMENT INC.
Practice address
868 Colcord PL
Glen Ellyn, IL 60137-4283
Phone
(630) 469-7160
Fax
(630) 469-7611
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Hamid A Khan, M.D.
Title
President
Phone
(630) 469-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 36047241 IL Primary

Addresses

Primary practice location

868 Colcord PL
Glen Ellyn, IL 60137-4283

Mailing address

868 Colcord PL
Glen Ellyn, IL 60137-4283
Phone (630) 469-7160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1982797205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 COLCORD PL",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374283",
            "telephone_number": "630-469-7160",
            "fax_number": "630-469-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 COLCORD PL",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374283",
            "telephone_number": "630-469-7160",
            "fax_number": "630-469-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE ORTHOPEDICS & PAIN MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-469-7160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36047241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.