PREMIER SURGICAL SPECIALISTS PC (NPI# 1588077242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588077242 |
| Entity Type | Organization |
| Organization Name | PREMIER SURGICAL SPECIALISTS PC |
| Practice Address |
9050 Columbia Ave Premier Surgical Specialists PC Munster IN 46321-2905 |
| Practice Telephone | 2198369800 |
| Practice Fax Number | 2198369300 |
| Mailing Telephone | 2198369800 |
| Mailing Fax Number | 2198369300 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-01-15 |
| Authorized Official Name | MRS. SAMAR B SHABEEB (OFFICE MANAGER) |
| Authorized Official Telephone | 2198369800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
9050 COLUMBIA AVE PREMIER SURGICAL SPECIALISTS PC |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134251721 | Edyta Gasiorowska | Physical Therapist | 9050 Columbia Ave, Munster, IN 46321-2905 | 2007-03-10 |
| 1932231420 | Jill Marie Basil | Occupational Therapist | 9050 Columbia Ave, Munster, IN 46321-2905 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1841619954 | South Shore Surgical LLC | Surgery | 10110 Donald Powers Drive, Suite 202, Munster, IN 46321-4057 | 2014-04-16 |
| 1467688879 | Carlos Rafael Gonzalez Rendon | Surgery | 10110 Don S Powers Dr Ste 202, Munster, IN 46321-4070 | 2009-06-01 |
| 1699852459 | Shaheen Parvez Md PC | Surgery | 1640 45th Ave, Munster, IN 46321-3914 | 2006-11-01 |
| 1467466615 | Anne Therese Dempsey | Surgery | 10110 Donald Powers Dr., Suite 202, Munster, IN 46321 | 2006-07-27 |
| 1770532699 | M Nabil Shabeeb | Surgery | 10110 Donald S Powers, Suite 202, Munster, IN 46321-2915 | 2006-05-08 |
| 1346298676 | Russell W Pellar | Surgery | 10110 Donald Powers Dr, Suite 202, Munster, IN 46321 | 2006-05-05 |
| 1699180950 | Amir Ali Khan | Surgery | 9800 Valparaiso Dr, Munster, IN 46321-4040 | 2014-06-25 |
| 1174818454 | Raquel Elisa Redondo | Surgery | 9800 Valparaiso Dr, Munster, IN 46321 | 2011-06-14 |
| 1972818649 | St. Margaret Mercy Healthcare Centers Inc | Surgery | 8230 Calumet Ave, Ste 110 Front, Munster, IN 46321-1753 | 2010-08-18 |
| 1528223450 | Jason M Frazier | Surgery | 801 Macarthur Blvd Ste 305, Munster, IN 46321-2920 | 2008-07-21 |
| Find all providers in MUNSTER | ||||
Please comment or provide details below to improve the information on PREMIER SURGICAL SPECIALISTS PC.
| 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.