SCOTT A REISHUS (NPI# 1245210160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245210160 |
| Entity Type | Individual |
| Full Name | SCOTT A REISHUS |
| Credential | DO |
| Practice Address |
1950 N Harlem Ave Elmwood Park IL 60707 |
| Practice Telephone | 7084536800 |
| Practice Fax Number | 7084533985 |
| Mailing Telephone | 7084536800 |
| Mailing Fax Number | 7084533985 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians | |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36089311 | 05 | |
| MEDICARE | 205524 | 01 | |
| IL | BCBS | 36089311 | 01 |
| Street Address |
1950 N HARLEM AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 60707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195039 | Rabia Z Bhatti | Surgery | 1950 N Harlem Ave, Elmwood Park, IL 60707 | 2005-09-23 |
| 1881125185 | Shiny E Saju | Nurse Practitioner | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2017-03-27 |
| 1164868618 | Medical Associates of Illinois Sc | Internal Medicine | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2013-05-10 |
| 1649557927 | Jennifer Duffy | Nurse Practitioner | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2011-11-14 |
| 1538467642 | Christina I Crews | Nurse Practitioner | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2011-03-14 |
| 1417121872 | Henry Robert Govekar | Surgery | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2008-04-16 |
| 1801876586 | Tiesenga Surgical Associates, S.c. | Surgery | 1950 N Harlem Ave, Elmwood Park, IL 60707 | 2006-01-19 |
| 1245219641 | Charles Bradley Schubert | Surgery | 1950 N Harlem Ave, Elmwood Park, IL 60707 | 2006-01-13 |
| 1538148093 | Athanasios D. Diniotis | Surgery | 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 | 2006-01-12 |
| 1720067580 | Marvin F Tiesenga | Specialist | 1950 N Harlem Ave, Elmwood Park, IL 60707 | 2006-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
| 1063606432 | Mohammed Al-zoubaidi | Surgery | 2 Good Samaritan Way Ste 220, Mount Vernon, IL 62864-2476 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
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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.