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CULLMAN SURGICAL ASSOCIATES P.C. NPI 1467603597


NPI Information

NPI: 1467603597
Provider Name: CULLMAN SURGICAL ASSOCIATES, P.C.
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 01D0300106

Address:
212 4TH AVE SE
SUITE 100
CULLMAN, AL
ZIP 35055
Phone: (256) 739-6050
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CULLMAN SURGICAL ASSOCIATES, P.C. is a surgery in Cullman, 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. CULLMAN SURGICAL ASSOCIATES, P.C. NPI is 1467603597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

212 4TH AVE SE
SUITE 100
CULLMAN, AL
ZIP 35055-673
Phone: (256) 739-6050
Fax: (256) 739-4921

The provider's authorized official is Donald Ray Marecle .
The authorized official title is President and has the following contact phone number (256) 739-6050.

The CLIA number assigned to this NPI record is 01D0300106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 9/12/2016.


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
1208600000XSurgery9759ALABAMAYes

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
1051035588OTHERBLUE CROSS/BLUE SHIELD OF ALABAMA
2C70850MEDICARE UPIN
3000035588MEDICAIDALABAMA
4000035588OTHERMEDICARE PTAN

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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