Salem Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SALEM SURGICAL ASSOCIATES PC

Practice address

1898 Braeburn Dr
Salem, VA 24153-7301

Phone

(540) 772-3008

Fax

(540) 772-3352

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Johnston, CPC

Title

Practice Manager

Phone

(540) 772-3008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGDFCA

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren R Glass, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1699743591
  Medicare reassignment Care Compare group NPD
• Nadeem Khuri, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1265651517
  Medicare reassignment Care Compare group NPD
• William Hampton Pasley, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1740416239
  Medicare reassignment Care Compare group NPD
• Robert Barclay Williams, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1356348791
  NPD
• Allen Reif Kessler II, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1720085160
  NPD (past)
• Susan Kinnison, MD

  • Surgery Physician
  • Roanoke, VA
  • NPI 1568441046
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1063593093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537301",
            "telephone_number": "540-772-3008",
            "fax_number": "540-772-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537301",
            "telephone_number": "540-772-3008",
            "fax_number": "540-772-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-772-3008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "256989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amna Saleem
• Salem City Schools
• Salem Foot & Ankle Specialists Inc
• Salem Hospitalists LLC
• Salem Operations LLC
• Salem Vamc
• Salem Vamc
• Salem Vamc
• Mahmoud Awni Salem, D.P.M.
• Marci Salow, PHARMD

• Surgery Physician in Salem, VA
• Providers in Salem, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.