SURGICAL SPECIALISTS, LLC (NPI# 1700117504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700117504 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS, LLC |
| Practice Address |
600 Grant St Gary IN 46402-6001 |
| Mailing Address |
7630 Lincoln Mill Rd Hobart IN 46342-7006 |
| Practice Telephone | 2193028396 |
| Mailing Telephone | 2197713740 |
| Mailing Fax Number | 2199422276 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MUHAMMAD ATIF (PRESIDENT) |
| Authorized Official Telephone | 2193028396 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 01062340B | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIVIDUAL MEDICAID | 200846010 | 01 |
| IN | 200982290 | 05 | |
| IN | BLUE CROSS BLUE SHIELD | 000000561613 | 01 |
| IN | INDIVIDUAL MEDICARE PIN | 267630A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952432551 | Surgical Specialists, LLC | Surgery | 2200 Benden Dr, Suite 8, Wooster, OH 44691-2569 | 2007-03-08 |
| 1841336179 | Surgical Specialists, LLC | Surgery | 1500 S 48th St Ste 708, Lincoln, NE 68506-1281 | 2007-01-30 |
| Street Address |
600 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46402-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265686 | Candace Kapranos | Nurse Practitioner | 600 Grant St, Gary, IN 46402-6001 | 2020-02-04 |
| 1104460062 | Matthew Gerard Mcgowan | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-11-04 |
| 1083257695 | Keva Swopes Mobley | Registered Nurse | 600 Grant St, Gary, IN 46402-6001 | 2019-10-26 |
| 1891343174 | Stephanie J Herald | Anesthesiologist Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-08-29 |
| 1619538055 | Cep America LLC | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2019-06-26 |
| 1508330267 | Julie Witvoet | Pharmacist | 600 Grant St, Gary, IN 46402-6001 | 2019-01-16 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| 1588164123 | Alexx Puckett | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2018-02-20 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| 1548779887 | Joshua Zalot | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1497254296 | Callie Stephens | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402 | 2018-02-07 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215180096 | Family Medicine Consultants Corp. | Chronic Disease Hospital | 650 Grant St Ste 5, Gary, IN 46404-1551 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093036980 | Rush University Medical Center | Chronic Disease Hospital | 1615 Sea Breeze Ct, Munster, IN 46321-5106 | 2010-06-15 |
| 1437339371 | Va Northern Indiana Health Care Systems | Chronic Disease Hospital | 1700 E 38th St, Marion, IN 46953-4568 | 2007-11-08 |
| 1124140843 | The Indiana Heart Hospital | Chronic Disease Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2007-04-04 |
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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.