SPECIALTY SURGEONS P.C. NPI 1053465146

NPI Information

NPI: 1053465146
Provider Name: SPECIALTY SURGEONS, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Other Name: COSMETIC SURGERY ASSOCIATES
Address: 350 BLOUNTVILLE HWY
SUITE 205
BRISTOL, TN
ZIP 37620
Phone: (423) 968-2732

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NPI Details

SPECIALTY SURGEONS, P.C. is a specialist in Bristol, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPECIALTY SURGEONS, P.C. NPI is 1053465146. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cosmetic Surgery Associates.

The provider's business location address is:

350 BLOUNTVILLE HWY
SUITE 205
BRISTOL, TN
ZIP 37620-213
Phone: (423) 968-2732
Fax: (423) 968-7530

The provider's authorized official is Wanda Cox Robinson .
The authorized official title is Administrator and has the following contact phone number (423) 968-2732.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 11/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		174400000X	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3704864	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE GROUP NUMBER

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: 11/21/2025

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