Active NPI
Keystone Surgical Associates
- General Acute Care Hospital
- Kennesaw, GA
National Provider Identifier
1063856706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.