SOUTHWEST SURGICAL ASSOCIATES (NPI# 1306921754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306921754 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SURGICAL ASSOCIATES |
| Practice Address |
1300 Copperfield Ave Joliet IL 60432-2004 |
| Mailing Address |
10660 W 143rd St Ste B Orland Park IL 60462-1989 |
| Practice Telephone | 8157274050 |
| Mailing Telephone | 7084604499 |
| Mailing Fax Number | 7084608031 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-05-17 |
| Authorized Official Name | DR. UMESH SHARMA (PRESIDENT) |
| Authorized Official Telephone | 8157274050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ========= | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 09923841 | 01 |
| IL | PALMETTO RR MEDICARE | CG7156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073873519 | Southwest Surgical Associates | Registered Nurse | 4216 Sw Loop 820, Fort Worth, TX 76109-5350 | 2012-05-17 |
| 1023181625 | Southwest Surgical Associates | Surgery | 1490 E Foremaster Dr Ste 200, St George, UT 84790-4496 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Southwest Surgical Associates Inc. | 101 1st St Nw Ste 2, Pulaski, Virginia 24301-5605 |
| Virginia Business Entities | SOUTHWEST SURGICAL ASSOCIATES P.C. | 2460 Lee Highway, Suite 4, Pulaski, Virginia 24301-2336 |
| Colorado Business Entities | SOUTHWEST SURGICAL ASSOCIATES, P.C. | 1 Mercado Street Suite 220, Durango, CO 81301 |
| Street Address |
1300 COPPERFIELD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684688 | William D Woodward | Internal Medicine | 1300 Copperfield Ave, Suite 3030, Joliet, IL 60432-2004 | 2006-05-10 |
| 1730343815 | Joan Marie Brncich | Registered Nurse | 1300 Copperfield Ave, Suite 4040, Joliet, IL 60432-2004 | 2008-07-17 |
| 1861653602 | Debbie T Leung | Physician Assistant | 1300 Copperfield Ave, Suite 4050, Joliet, IL 60432-2004 | 2008-06-24 |
| 1437327020 | Muhammed Salah Lababidy | Internal Medicine | 1300 Copperfield Ave, Suite 4060, Joliet, IL 60432-2004 | 2008-02-15 |
| 1891983417 | Michelle L Sullivan Do PC | General Practice | 1300 Copperfield Ave, Suite 1020, Joliet, IL 60432-2004 | 2007-10-09 |
| 1174665509 | Associated Urological Specialists | Urology | 1300 Copperfield Ave, Joliet, IL 60432-2004 | 2007-02-13 |
| 1558442442 | Southwest Vein Clinic | Specialist | 1300 Copperfield Ave, Suite 3070, Joliet, IL 60432-2004 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078910 | Bhavin Chandrakant Shah | Surgery | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2009-08-14 |
| 1164516217 | Center for Surgery & Breast Health, LLC | Surgery | 300 Barney Dr Ste A, Joliet, IL 60435-5269 | 2006-10-03 |
| 1427037043 | R K Natesh | Surgery | 1100 Essington Rd, Suite 6, Joliet, IL 60435-8425 | 2006-01-12 |
| 1780155325 | Neurocyst Incorporated | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2018-12-07 |
| 1235663782 | Midwest Surgery and Oncology Consultants LLC | Surgery | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2017-04-11 |
| 1821345349 | Lauren Michele Ghee | Surgery | 330 Madison St Ste 104, Joliet, IL 60435-6572 | 2012-08-14 |
| 1073871679 | Precision Surgical Consultants LLC | Surgery | 300 Barney Dr Ste A, Joliet, IL 60435-5269 | 2012-05-02 |
| 1598090870 | Cardinal Surgical Associates S C | Surgery | 1051 Essington Rd, Suite 230a, Joliet, IL 60435-2892 | 2009-10-05 |
| 1124284849 | Center for Surgery & Breast Health, LLC | Surgery | 300 Barney Dr, Suite A, Joliet, IL 60435-5296 | 2008-08-01 |
| 1114116134 | R.k. Natesh Md PC | Surgery | 1100 Essington Rd, Suite 6, Joliet, IL 60435-8425 | 2007-10-16 |
| Find all providers in JOLIET | ||||
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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.