METRO EAST SURGICAL SPECIALTY SC (NPI# 1881631604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881631604 |
| Entity Type | Organization |
| Organization Name | METRO EAST SURGICAL SPECIALTY SC |
| Practice Address |
1212 Broadway Suite B Highland IL 62249-1960 |
| Practice Telephone | 6186548100 |
| Mailing Telephone | 6186548100 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | KEITH R THOMAE (PRESIDENT) |
| Authorized Official Telephone | 6186548100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 042008099 | IL | Ambulatory Health Care Facilities |
| Street Address |
1212 BROADWAY SUITE B |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093785982 | Jennifer Follwell | Family Medicine | 1212 Broadway, Highland, IL 62249-1960 | 2006-01-24 |
| 1902467798 | Southern Illinois Gastroenterology LLC | Internal Medicine | 1212 Broadway, Highland, IL 62249-1960 | 2019-06-24 |
| 1851731863 | Lab One LLC | Clinical Medical Laboratory | 1212 Broadway, Suite 1, Highland, IL 62249-1960 | 2013-07-05 |
| 1760636088 | Trisha I. Richards | Physician Assistant | 1212 Broadway, Highland, IL 62249 | 2008-11-13 |
| 1295909570 | Xerex LLC | Legal Medicine | 1212 Broadway, Ste C, Highland, IL 62249-1960 | 2008-04-17 |
| 1225209885 | Excel Care Orthopedics, Inc. | Orthopaedic Surgery | 1212 Broadway, Highland, IL 62249-1960 | 2008-03-21 |
| 1427065580 | Highland Physicians Ltd | Family Medicine | 1212 Broadway, Highland, IL 62249 | 2006-08-02 |
| 1083654594 | Lalit B Choksi | Surgery | 1212 Broadway, Suite B, Highland, IL 62249-1960 | 2006-06-07 |
| 1891734315 | Sara A Mcfarlane | Physician Assistant | 1212 Broadway, Highland, IL 62249 | 2006-06-06 |
| 1972542488 | Roger L Fulton | Internal Medicine | 1212 Broadway, Highland, IL 62249-1960 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558876474 | Midan Medical Holdings Pllc | Clinic/Center | 2786 E Highland Rd, Highland, MI 48356-2728 | 2017-12-14 |
| 1720196710 | Ocampo Medical Centers, LLC. | Clinic/Center | 3100 - 45 Th St., Suite # 3, Highland, IN 46322-3289 | 2006-08-29 |
| 1649659343 | Therapy Works Inc. | Clinic/Center | 1995 Highway 62 412, Highland, AR 72542-9262 | 2015-05-27 |
| 1942621503 | Primary Care Center, Inc. | Clinic/Center | 9006 Indianapolis Blvd, Highland, IN 46322-2501 | 2013-12-30 |
| 1679711402 | Pediatric Healthcare Associates | Clinic/Center | 3145 45th St, Highland, IN 46322-3291 | 2009-02-02 |
| 1699810259 | Downing Medical Corp | Clinic/Center | 3100 45th St, Highland, IN 46322-3289 | 2007-02-21 |
| 1487665790 | Garner Family Medical Clinic, Inc | Clinic/Center | 1995 Highway 62 412, Highland, AR 72542-9262 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on METRO EAST SURGICAL SPECIALTY SC.
| 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.