Angel Ruiz · Surgical Physician Assistant

18761 Chestnut Ct, Mokena, IL 60448-9501

Overview

Angel Ruiz is a Surgical Physician Assistant practicing in Mokena, Illinois. The National Provider Identifier (NPI) is #1073492880, which was assigned on August 27, 2025, and the registration record was last updated on August 27, 2025. The practitioner's main practice location is at 18761 Chestnut Ct, Mokena, IL 60448-9501; the contact telephone number is 7864489020. The primary taxonomy of Angel Ruiz is Surgical Physician Assistant (363AS0400X), with specialization in Surgical. Angel Ruiz is licensed to practice in the state of Illinois (#238.000847).

Provider Information

NPI 1073492880
Entity Type Individual
Provider Name ANGEL RUIZ
Gender Male
Credential SA-C
Practice Address 18761 Chestnut Ct
Mokena
IL 60448-9501
Practice Telephone 7864489020
Mailing Address 18761 Chestnut Ct
Mokena
IL 60448-9501
Mailing Telephone 7864489020
Certification Date 2025-08-27
Enumeration Date 2025-08-27
Last Update Date 2025-08-27
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363AS0400XPhysician AssistantSurgical238.000847IL

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Angel Ruiz 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200Clinical Social Worker2016-06-06

Taxonomy Information

Primary Taxonomy

Code 363AS0400X
Taxonomy Surgical Physician Assistant
Classification Physician Assistant
Specialization Surgical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Lindsay Beth Hall 4318 Northern Pike Ste 201, Monroeville, PA 15146-2824Surgical Physician Assistant2025-09-05
Gregory Steven Pahlavi 101 Hospital Rd, Patchogue, NY 11772-4870Surgical Physician Assistant2025-08-25
Eva Funches Po Box 7094, Gulfport, MS 39506-7094Surgical Physician Assistant2025-08-18
Ashley Ivey 575 1st St, Macon, GA 31201-2825Surgical Physician Assistant2025-08-25
Klaudia Toma-Capasso 85 Jefferson St, Hartford, CT 06106-2601Surgical Physician Assistant2025-09-04
Brianna Jay Garrett 950 Corbindale Rd Ste 300, Houston, TX 77024-2849Surgical Physician Assistant2025-08-27
Tiffany S Scatliffe 4500 13th St, Gulfport, MS 39501-2515Surgical Physician Assistant2025-08-18
Elijah Saint Furcy 100 Port Washington Blvd, Roslyn, NY 11576-1353Surgical Physician Assistant2025-09-04
Margaret Maylon Bovard 160 Academy Ave, Greenwood, SC 29646-3808Surgical Physician Assistant2025-08-18
Nicole Lynn Mcneal 120 E 2nd St Ste 401, Erie, PA 16507-1577Surgical Physician Assistant2025-08-14
Find all providers with the same taxonomy

Location Information

Street Address 18761 CHESTNUT CT
City MOKENA
State IL
Zip Code 60448-9501
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Carlos Alberto Natera Garcia 18761 Chestnut Ct, Mokena, IL 60448-9501Surgical Physician Assistant2024-12-23
Jose Balboa Blanco 18761 Chestnut Ct, Mokena, IL 60448-9501Surgical Assistant2016-05-06

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cristal Reider · Cristal Del Real 21202 Owens Rd Ste 101, Mokena, IL 60448-2038Registered Nurse2020-11-13
Paul Serafin 10937 Front St, Mokena, IL 60448-1934Pharmacist2020-03-13
Coleen Ann Carney 21202 Owens Rd Ste 201, Mokena, IL 60448-2038Nurse Practitioner2009-09-09
Tyler Loranger 10846 Front St, Mokena, IL 60448-1535Registered Dietitian2024-12-26
Ceres K Kangou 9697 191st St. Suite 200, Ehmg-Behavioral Health, Mokena, IL 60448Family Nurse Practitioner2019-03-24
Angel Home Maker Inc. 20162 Alison Trl, Mokena, IL 60448-1688Homemaker2021-09-21
Three Point Healthcare LLC 19807 S La Grange Rd, Mokena, IL 60448Mental Health Counselor2018-01-10
Holly A Cox 11225 Front St, Mokena, IL 60448-1303Professional Counselor2007-02-22
Robyn Mulvihill · Robyn Aceves 19224 Schoolhouse Road Suite 5, Mokena, IL 60448Family Nurse Practitioner2015-10-16
Ashley Donyae' Richards 18861 South 90th Avenue Suite E, Mokena, IL 60448Behavioral Analyst2020-07-27
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Eva Ruiz-Garibay 3120 O St, Sacramento, CA 95816-6519Mental Health Counselor2023-07-10
Yadira E Ruiz-Johns · Yadira Ruiz-Burandt 5473 Kearny Villa Rd Ste 300, San Diego, CA 92123-1142Mental Health Counselor2009-09-15
Angel Manuel Cuenca Gongora · Angel M Cuenca 431 W Oak St, Kissimmee, FL 34741-6627General Practice Physician2023-07-26
Angel Marie Park · Angel Marie Noeller 113 Comanche Rd, Fort Meade, SD 57741-1002Registered Nurse2013-12-26
Angel Nitzel · Angel Wright 301 5th St, Arapahoe, NE 68922-2798Personal Care Attendant2025-07-02
Cristian Ruiz-Ruiz 1500 E Anaheim St Ste 100, Long Beach, CA 90813-4051Pediatrics Physician2019-03-27
Alvin-Angel Sy Ruiz 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417Behavior Technician2024-12-06
Angel R. Heberg · Angel Scanlan 1091 Midway Dr, Linn Creek, MO 65052-1687Professional Counselor2021-04-14
Angel Winter · Angel Ashley 8055 O St Ste 301, Lincoln, NE 68510-2564Mental Health Counselor2025-08-07
Angel Javier Ruiz Vera 100 Ave Laurel, Bayamon, PR 00956-4816Internal Medicine Physician2021-05-25

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.