DEERPATH AMBULATORY SURGICAL CENTER, LLC (NPI# 1215040464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215040464 |
| Entity Type | Organization |
| Organization Name | DEERPATH AMBULATORY SURGICAL CENTER, LLC |
| Practice Address |
1051 W Us Route 6 Morris IL 60450 |
| Mailing Address |
1051 W Us Route 6 Morris IL 60450-3349 |
| Practice Telephone | 8153185666 |
| Practice Fax Number | 8153185676 |
| Mailing Telephone | 8153185666 |
| Mailing Fax Number | 8153185676 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MRS. MICHELE RAE CHESHARECK (ADMINISTRATOR) |
| Authorized Official Telephone | 8153185614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1051 W US ROUTE 6 |
| City | MORRIS |
| State | IL |
| Zip Code | 60450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255317194 | Mir H Ali | Orthopaedic Surgery | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2005-12-22 |
| 1699309732 | Reilly Anne Jaeger | Physical Therapist | 1051 W Us Route 6, Morris, IL 60450-4200 | 2020-02-27 |
| 1285059600 | Alexandra Kay Devries | Occupational Therapist | 1051 W Us Route 6, Ste 400, Morris, IL 60450-4200 | 2014-02-21 |
| 1013358282 | Kristina M Halley | Physician Assistant | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2013-07-16 |
| 1952647224 | Paul M Mazur | Registered Nurse | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2012-12-14 |
| 1225397706 | Maria D Wood | Physician Assistant | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2012-05-03 |
| 1538449335 | Brittany Parsons | Occupational Therapist | 1051 W Us Route 6, Suite 400, Morris, IL 60450-4200 | 2011-08-24 |
| 1518245612 | Stephanie I Rodriguez | Physical Therapist | 1051 W Us Route 6, Ste 400, Morris, IL 60450-4200 | 2011-07-25 |
| 1780971598 | Kyle T Pearson | Podiatrist | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2011-06-30 |
| 1033404637 | Cynthia A Rennie | Physical Therapist | 1051 W Us Route 6, Suite 400, Morris, IL 60450-4200 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871612333 | Grundy County Surgical Facility | Clinic/Center | 425 E Us Route 6, Morris, IL 60450-9042 | 2007-03-28 |
| 1053411280 | Prairie Surgicenter LLP | Clinic/Center | 24 E 7th St, Suite 100, Morris, MN 56267-1312 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.