Organization Active NPI

Keystone Surgical Associates

  • General Acute Care Hospital
  • Kennesaw, GA
National Provider Identifier
1063856706
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KEYSTONE SURGICAL ASSOCIATES
Practice address
2525 Kirk Pointe CV NW
Kennesaw, GA 30152-6239
Phone
(678) 773-9399
Fax
(770) 792-2263
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mrs. Dina Ellen Dlugos, PA-C
Title
PA
Phone
(678) 773-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X GA Primary

Addresses

Primary practice location

2525 Kirk Pointe CV NW
Kennesaw, GA 30152-6239

Mailing address

2525 Kirk Pointe CV NW
Kennesaw, GA 30152-6239
Phone (678) 773-9399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1063856706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KIRK POINTE CV NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526239",
            "telephone_number": "678-773-9399",
            "fax_number": "770-792-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KIRK POINTE CV NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526239",
            "telephone_number": "678-773-9399",
            "fax_number": "770-792-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DLUGOS",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "678-773-9399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.