Organization Active NPI

Smyth County Surgical Associates, LLC

  • Surgery Physician
  • Marion, VA
National Provider Identifier
1023548302
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SMYTH COUNTY SURGICAL ASSOCIATES, LLC
Practice address
239 Park Blvd
Marion, VA 24354
Phone
(315) 297-9339
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Dr. Aleksandr Sokolovsky, DO
Title
Owner/Member
Phone
(276) 378-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

239 Park Blvd
Marion, VA 24354

Mailing address

239 Park Blvd
Marion, VA 24354-4103
Phone (276) 378-0075

National Provider Directory

National Provider Directory

Locations

239 Park Blvd
Marion, VA 24354
Phone (276) 378-0075

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1023548302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544103",
            "telephone_number": "276-378-0075",
            "fax_number": "855-318-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "315-297-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYTH COUNTY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "SOKOLOVSKY",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "276-378-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.