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SURGERY ASSOCIATES PA NPI 1790760692


NPI Information

NPI: 1790760692
Provider Name: SURGERY ASSOCIATES PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
440 PEGRAM DR
TUPELO, MS
ZIP 38801
Phone: (662) 844-5344
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SURGERY ASSOCIATES PA is a surgery in Tupelo, MS. 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 ASSOCIATES PA NPI is 1790760692. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

440 PEGRAM DR
TUPELO, MS
ZIP 38801-319
Phone: (662) 844-5344
Fax: (662) 844-5363

The provider's authorized official is David H Gilliland .
The authorized official title is Secretary and has the following contact phone number (662) 844-5344.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 1/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryNo
2208600000XSurgeryYes

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
101588255MEDICAIDMISSISSIPPI
2C00389MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

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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