METROEAST ENDOSCOPIC SURGERY CENTER (NPI# 1063838357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063838357 |
Entity Type | Organization |
Organization Name | METROEAST ENDOSCOPIC SURGERY CENTER |
Practice Address |
5023 N Illinois St Suite 3 Fairview Heights IL 62208-3453 |
Practice Telephone | 6182330700 |
Practice Fax Number | 6182350471 |
Mailing Telephone | 6182330700 |
Mailing Fax Number | 6182350471 |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |
Authorized Official Name | SHAKEEL AHMED (OWNER) |
Authorized Official Telephone | 6182390678 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7003185 | IL | Ambulatory Health Care Facilities |
Street Address |
5023 N ILLINOIS ST SUITE 3 |
City | FAIRVIEW HEIGHTS |
State | IL |
Zip Code | 62208-3453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699792143 | Shakeel Ahmed | Internal Medicine | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2006-07-17 |
1487266391 | Prairie State Anesthesia Associates, Pllc | Anesthesiology | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2020-08-21 |
1073147237 | Alexis Wernsman | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2020-02-26 |
1114492691 | Stephanie Nicole Swanson | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2018-10-10 |
1790106151 | Center for Gastrointestinal Health | Clinical Medical Laboratory | 5023 N Illinois St, Suite 2, Fairview Heights, IL 62208-3453 | 2014-01-02 |
1780962506 | Diversified Medical Services LLC | Anesthesiology | 5023 N Illinois St, Ste 1, Fairview Heights, IL 62208-3453 | 2011-07-27 |
1356650915 | Metroeast Endoscopy Centre | Clinic/Center | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-09-30 |
1639498033 | Maria Noel Wolf | Nurse Anesthetist, Certified Registered | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-05-25 |
1114259199 | Jennifer Jeanne Steinhoff | Physician Assistant | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-02-02 |
1477753176 | Center for Gastrointestinal Health, Sc | Anesthesiology | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2007-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
Find all providers in zip 62208 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356650915 | Metroeast Endoscopy Centre | Clinic/Center | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-09-30 |
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 |
Find all providers with the same taxonomy |
City | FAIRVIEW HEIGHTS |
Zip Code | 62208 |
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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.