Surgical Associates, LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26205 Issued in IA

Legal business name

SURGICAL ASSOCIATES, LLP

Practice address

122 4TH Ave
Grinnell, IA 50112-1829

Phone

(641) 236-4323

Fax

(641) 236-3411

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

David Dwight Coster, M.D.

Title

Chair

Phone

(641) 236-4323

Specialties & licenses 5

Addresses

Other identifiers 1

Interoperability endpoints

• Direct secure messaging: mathewseveridt@sagllp.allscriptsdirect.net
• Direct secure messaging: aaronsmith@sagllp.allscriptsdirect.net
• Direct secure messaging: bridgetbaechtel@sagllp.allscriptsdirect.net
• Direct secure messaging: russellbandstra@sagllp.allscriptsdirect.net
• Direct secure messaging: davidcoster@sagllp.allscriptsdirect.net
• Direct secure messaging: nicholaskuiper@sagllp.allscriptsdirect.net
• Direct secure messaging: jarrodphelps@sagllp.allscriptsdirect.net
• Direct secure messaging: stefanienoun@sagllp.allscriptsdirect.net
• Direct secure messaging: elizabethtigges@sagllp.allscriptsdirect.net

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1033183884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121829",
            "telephone_number": "641-236-4323",
            "fax_number": "641-236-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121829",
            "telephone_number": "641-236-4323",
            "fax_number": "641-236-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "COSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "641-236-4323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "26205",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "18984",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "IA",
            "license": "28246",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001646",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance Gregory Strovers, D.C.
• Donna J Sullivan, PA-C
• Janell L Sumner, OTR
• Reece Anthony Sunclades, PSYD
• Stephen Merrill Sundberg, M.D.
• Lily Swedenhjelm, RDN, LD
• Anthony Tedesco, DO
• The Grinnell Institute for Bone Health
• The Mental Health Lab, PLLC
• Carissa Leigh Tigges, ATC

• Surgery Physician in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.