MONTGOMERY COUNTY SURGICAL ASSOCIATES, LLC (NPI# 1659535284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659535284 |
Entity Type | Organization |
Organization Name | MONTGOMERY COUNTY SURGICAL ASSOCIATES, LLC |
Practice Address |
725 Saint Francis Way Litchfield IL 62056-1780 |
Practice Telephone | 2173248730 |
Mailing Telephone | 2173248730 |
Enumeration Date | 2008-07-14 |
Last Update Date | 2008-07-14 |
Authorized Official Name | DR. JOSEPH BLASER (PHYSICIAN) |
Authorized Official Telephone | 2173248730 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
036121436 | IL | Ambulatory Health Care Facilities |
Street Address |
725 SAINT FRANCIS WAY |
City | LITCHFIELD |
State | IL |
Zip Code | 62056-1780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083613368 | Litchfield Orthopedic & Sports Medicine Clinic | Specialist | 725 Saint Francis Way, Litchfield, IL 62056-1780 | 2005-07-19 |
1366806374 | Shelly Flagg | Nurse Practitioner | 725 Saint Francis Way, Litchfield, IL 62056-1780 | 2016-04-06 |
1851586192 | Humphreys Medical LLC | Orthopaedic Surgery | 725 Saint Francis Way, Litchfield, IL 62056-1780 | 2007-09-10 |
1316064157 | Joseph Anthony Blaser | Surgery | 725 Saint Francis Way, Litchfield, IL 62056-1780 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
Find all providers in zip 62056 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619346020 | Family Health and Wellness Chiropractic | Clinic/Center | 101 N Old Route 66 Ste A, Litchfield, IL 62056-2639 | 2015-09-16 |
1487130605 | Blue Heron Health LLC | Clinic/Center | 82a Meadow St, Litchfield, CT 06759-3543 | 2018-07-11 |
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1952929119 | Gray Healthcare Consulting Pllc | Clinic/Center | 57 Northgate Rd, Riverside, IL 60546-1638 | 2020-07-13 |
1225664683 | Men's Clinic, Pllc | Clinic/Center | 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 | 2020-03-18 |
1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
Find all providers with the same taxonomy |
City | LITCHFIELD |
Zip Code | 62056 |
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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.