MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP (NPI# 1801239991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801239991 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP |
| Other Organization Name | SMG AT SCI-MEDICINE |
| Practice Address |
2653 W Ogden Ave 3rd Floor Suite A Chicago IL 60608-1647 |
| Mailing Address |
3537 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 7732576840 |
| Practice Fax Number | 7732576712 |
| Mailing Telephone | 7087862900 |
| Mailing Fax Number | 7087862992 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | DR. JOHN E. VAZQUEZ (CMO) |
| Authorized Official Telephone | 7732576850 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SMG at SCI-Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
| 1194168377 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1611 S Cicero Ave, Cicero, IL 60804-1520 | 2013-04-08 |
| 1407264583 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 1859 S Blue Island Ave, Chicago, IL 60608-3012 | 2014-08-01 |
| 1023451119 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2653 W Ogden Ave, 3rd Floor Suite A, Chicago, IL 60608-1647 | 2013-04-09 |
| Street Address |
2653 W OGDEN AVE 3RD FLOOR SUITE A, |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701575 | Osaretin Oronsaye | Obstetrics & Gynecology | 2653 W Ogden Ave, Suite 3b, Chicago, IL 60608-1647 | 2005-09-21 |
| 1497374805 | Mount Sinai Community Foundation | Clinic/Center | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2020-04-15 |
| 1891329488 | Mt Sinai Pediatric Center Ffs | Family Medicine | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2020-02-24 |
| 1417500182 | Leslie Phillips | Counselor | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2019-07-22 |
| 1780142778 | Mt Sinai Pediatric Center | Pediatrics | 2653 W Ogden Ave, Chicago, IL 60608 | 2019-03-08 |
| 1992295596 | Claire Oliver | Nurse Practitioner | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-05-18 |
| 1649774779 | Emiko Yuzawa Rubin | Physician Assistant | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-03-22 |
| 1194232215 | Steven Isaac Foley | Dietitian, Registered | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-01-10 |
| 1063933679 | Melissa Ann Narcisi | Dietitian, Registered | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2017-07-05 |
| 1154774180 | Amanda L Dick | Social Worker | 2653 W Ogden Ave, 2nd Floor, Chicago, IL 60608-1647 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| 1861964959 | Midway Medical | Clinic/Center | 2 W 103rd St, Chicago, IL 60628-2619 | 2018-12-30 |
| 1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1235584475 | Healthworks Medical Group of Illinois S C | Clinic/Center | Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-25 |
| 1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
| 1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
| 1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
| Find all providers in CHICAGO | ||||
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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.