Organization Active NPI

Newberry Surgical Associates PA

  • Vascular Surgery Physician
  • Newberry, SC
National Provider Identifier
1063499226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
NEWBERRY SURGICAL ASSOCIATES PA
Practice address
2541 Evans Street
Suite 100
Newberry, SC 29108
Phone
(803) 276-7172
Fax
(803) 276-7175
NPI assigned
Dec 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven A Matzingeh, MD
Title
Partner
Phone
(803) 276-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

2541 Evans Street
Suite 100
Newberry, SC 29108

Mailing address

2541 Evans Street
Suite 100
Newberry, SC 29108
Phone (803) 276-7172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063499226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 EVANS STREET",
            "address_2": "SUITE 100",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-276-7172",
            "fax_number": "803-276-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 EVANS STREET",
            "address_2": "SUITE 100",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-276-7172",
            "fax_number": "803-276-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATZINGEH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-276-7172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.