SMG AT SCI -OBGYN (NPI# 1255778122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255778122 |
Entity Type | Organization |
Organization Name | SMG AT SCI -OBGYN |
Practice Address |
2653 W Ogden Ave Chicago IL 60673-1264 |
Mailing Address |
26460 Network Pl Chicago IL 60673-1264 |
Practice Telephone | 7732576701 |
Mailing Telephone | 7087862900 |
Enumeration Date | 2013-05-31 |
Last Update Date | 2013-05-31 |
Authorized Official Name | 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
Street Address |
2653 W OGDEN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60673-1264 |
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 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912091182 | Jessica J Kandel | Surgery | 5841 S. Maryland Ave, University of Chicago, Section of Pediatric Surgery, Chicago, IL 60673 | 2006-10-03 |
1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
1376933119 | First Script Network Services | Pharmacy | 24160 Network Pl, Chicago, IL 60673-1241 | 2015-02-02 |
1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
1629494224 | Mount Sinai Community Foundation | Internal Medicine | 26460 Network Pl, Chicago, IL 60673-1264 | 2014-03-07 |
1356779532 | Mount Sinai Community Foundation | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2013-10-24 |
1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
1194223099 | Regional Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 29194 Network Pl, Chicago, IL 60673-1291 | 2018-01-25 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1679003826 | Scolastica W Njoroge | Obstetrics & Gynecology | 5841 S Maryland Ave Rm J-141, Chicago, IL 60637-1447 | 2017-06-19 |
1356794457 | Paige Dermer Kendall | Obstetrics & Gynecology | 250 E. Huron Street, Chicago, IL 60611 | 2016-07-13 |
1427409093 | Marly Francois | Obstetrics & Gynecology | 1300 W Belmont Ave Ste 100, Chicago, IL 60657-3200 | 2016-06-24 |
1346695509 | Kristina Janea Warner | Obstetrics & Gynecology | 250 E Superior St Ste 5-2166, Chicago, IL 60611-2914 | 2016-04-25 |
1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
1780046185 | Hillary Edelman | Obstetrics & Gynecology | 900 N Kingsbury St Ste 130n, Chicago, IL 60610-7457 | 2016-03-24 |
1578929139 | Olivia Helen Finkelstein Barry | Obstetrics & Gynecology | 675 N Saint Clair St # 200, Chicago, IL 60611 | 2016-01-12 |
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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.