The Klein Surgery Center, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036142139 Issued in IL

Legal business name

THE KLEIN SURGERY CENTER, LLC

Doing business as

The Klein Surgery Center, LLC

Practice address

2320 Dean St
Suite 104
Saint Charles, IL 60175-1068

Phone

(847) 732-9293

NPI assigned

Jan 10, 2017

Organization subpart

Yes

Parent organization

THE KLEIN SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Michaela Simcha Klein, DO

Title

General Surgeon

Phone

(813) 404-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Klein Surgery Center, LLC Doing business as

Part of

The Klein Surgery Center LLC

Locations

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1992241392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "847-732-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "847-732-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KLEIN SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KLEIN SURGERY CENTER, LLC",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "SIMCHA",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "813-404-5572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036142139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003578500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Klein Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.