SOUTHSIDE ORTHOPAEDICS P.C. (NPI# 1447376140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447376140 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE ORTHOPAEDICS P.C. |
| Other Organization Name | DBA HEIGHTS PHYSICAL THERAPY |
| Practice Address |
11757 Southwest Hwy Palos Heights IL 60463-1015 |
| Mailing Address |
11757 Southwest Hwy Palos Heights IL 60463-1084 |
| Practice Telephone | 7083613930 |
| Practice Fax Number | 7083617969 |
| Mailing Telephone | 7083613930 |
| Mailing Fax Number | 7083617969 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. THOMAS P REGAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7083613930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 060.002144 036.0 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS | 01633518 | 01 |
| Other Name | Type Code |
|---|---|
| dba HEIGHTS PHYSICAL THERAPY | Doing Business As Name - Organization |
| Street Address |
11757 SOUTHWEST HWY |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770891384 | Carol Fogarty | Registered Nurse | 11757 Southwest Hwy, Palos Heights, IL 60463-1015 | 2010-09-16 |
| 1073563813 | Thomas P Regan | Specialist | 11757 Southwest Hwy, Palos Heights, IL 60463-1015 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1487780516 | Zenaida L Vivar | Specialist | 7225 W Ute Ln, Palos Heights, IL 60463-2043 | 2007-02-25 |
| 1437234176 | Barbara Jo Schriver | Specialist | 6411 W 123rd St, Palos Heights, IL 60463-1702 | 2006-10-25 |
| 1235231366 | Pradeep A Keni M D S C | Specialist | 6420 W 127th St Ste 106, Palos Heights, IL 60463-2297 | 2006-09-01 |
| 1831157494 | Neurologic Associates L.t.d. | Specialist | 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463-1055 | 2006-05-03 |
| 1811951411 | Nimit K Aggarwal | Specialist | 12820 S Ridgeland Ave, Suite B, Palos Heights, IL 60463-2388 | 2006-04-12 |
| 1801449566 | Neurologic and Headache Clinic | Specialist | 11824 Southwest Hwy Ste 100, Palos Heights, IL 60463-1083 | 2019-07-22 |
| 1376966853 | Midwest Hand Surgery Sc | Specialist | 7460 W College Dr, 2nd Floor, Palos Heights, IL 60463-1164 | 2014-02-04 |
| 1912279050 | United Elite Hospitalists, LLC | Specialist | 12632 S Harlem Ave, Palos Heights, IL 60463-1428 | 2012-02-06 |
| 1992082127 | Alpha Med Physicians Group, LLC | Specialist | 12150 S Harlem Ave, Palos Heights, IL 60463-1435 | 2011-11-16 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on SOUTHSIDE ORTHOPAEDICS P.C..
| 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.