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PREMIER SURGICAL ASSOCIATES PLLC NPI 1750449443


NPI Information

NPI: 1750449443
Provider Name: PREMIER SURGICAL ASSOCIATES, PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
6408 PAPERMILL DR
SUITE 220
KNOXVILLE, TN
ZIP 37919
Phone: (865) 306-5675
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PREMIER SURGICAL ASSOCIATES, PLLC is a surgery in Knoxville, 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. PREMIER SURGICAL ASSOCIATES, PLLC NPI is 1750449443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6408 PAPERMILL DR
SUITE 220
KNOXVILLE, TN
ZIP 37919-858
Phone: (865) 306-5675
Fax: (865) 584-7712

The provider's authorized official is Jerome Rom .
The authorized official title is Ceo and has the following contact phone number (865) 306-5675.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/7/2023.


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 SurgeryNo
22086X0206XSurgerySurgical OncologyNo
3208C00000XColon & Rectal SurgeryNo
4208600000XSurgeryYes

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
13707870MEDICAIDTENNESSEE

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: 4/28/2024

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