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SURGERY CLINIC LLC NPI 1205893732


NPI Information

NPI: 1205893732
Provider Name: SURGERY CLINIC, LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
419 S 5TH ST
GADSDEN, AL
ZIP 35901
Phone: (256) 547-6331
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SURGERY CLINIC, LLC is a surgery in Gadsden, AL. The provider is 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. SURGERY CLINIC, LLC NPI is 1205893732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

419 S 5TH ST
GADSDEN, AL
ZIP 35901-101
Phone: (256) 547-6331
Fax: (256) 547-1711

The provider's authorized official is Dianette Keener .
The authorized official title is Billing Manager and has the following contact phone number (256) 547-6331.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryALABAMANo
2208600000XSurgeryALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C78627MEDICARE UPINALABAMA
2G07898MEDICARE UPINALABAMA
3E89699MEDICARE UPINALABAMA
4I36918MEDICARE UPINALABAMA
5F16962MEDICARE UPINALABAMA
6D235MEDICARE ID-TYPE UNSPECIFIEDALABAMA
7C70288MEDICARE UPINALABAMA
8528202650MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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