Clarksville Surgical Associates, PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLARKSVILLE SURGICAL ASSOCIATES, PLC

Practice address

647 Dunlop Lane
Suite 100
Clarksville, TN 37040-5015

Phone

(931) 551-8991

Fax

(931) 551-4053

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Franklin Daugherty, M.D.

Title

Chief Officer

Phone

(931) 551-8991

Specialties & licenses 1

Addresses

Other names 1

• Veincare Centers of Tennessee Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1003973355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 DUNLOP LANE",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-551-8991",
            "fax_number": "931-551-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 DUNLOP LANE",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-551-8991",
            "fax_number": "931-551-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE SURGICAL ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "931-551-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veincare Centers of Tennessee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clarksville Sleepdisorders Center
• Clarksville SNF Healthcare,LLC
• Clarksville Spine and Wellness
• Clarksville Sportsmed & Wellness
• Clarksville Surgery Center LLC
• Clarksville Surgicenter, LLC
• Clarksville Therapy Professionals, LLC.
• Clarksville Tongue Tie Center PLLC
• Clarksville Treatment Center, LLC
• Clarksville-Montgomery County School System

• Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.