MANCHESTER SURGICAL ASSOC NPI 1205912102

NPI Information

  • NPI: 1205912102
  • Provider Name: MANCHESTER SURGICAL ASSOC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 1239 MCARTHUR DRIVE
    MANCHESTER, TN
    ZIP 37355
  • Phone: (931) 728-5879

Map and Directions

Get Directions

NPI Details

MANCHESTER SURGICAL ASSOC is a surgery in Manchester, TN. 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. MANCHESTER SURGICAL ASSOC NPI is 1205912102. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1239 MCARTHUR DRIVE
MANCHESTER, TN
ZIP 37355-423
Phone: (931) 728-5879
Fax: (931) 728-5881

The provider's authorized official is J David Sullivan .
The authorized official title is General Surgeon and has the following contact phone number (931) 728-5879.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/27/2008.

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
1208600000XSurgeryDO0000000201TENNESSEEYes

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
13301339MEDICARE PINTENNESSEE
2D74216MEDICARE UPIN
33301339MEDICAIDTENNESSEE

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI