Surgeon's Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18107 Issued in WV

Legal business name

SURGEON'S INC

Practice address

4000 Johnson Rd FL 2
Steubenville, OH 43952-2364

Phone

(740) 266-5959

Fax

(740) 266-5957

NPI assigned

Jul 12, 2006

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel D Licata, MDNPI 1710973870

Title

Owner

Phone

(740) 266-3595

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Samuel David Licata, MD

  • Surgery Physician
  • Steubenville, OH
  • NPI 1710973870
  Authorized official Same address or phone

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1083639009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD FL 2",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522364",
            "telephone_number": "740-266-5959",
            "fax_number": "740-266-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD FL 2",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522364",
            "telephone_number": "740-266-5959",
            "fax_number": "740-266-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGEON'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "LICATA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Sullivan
• Vanita Lakshmi Sundararaman, PHARM-D, BCPS, BCADM
• Francis Sunseri, M.D.
• Cora Elizabeth Suppa, CCMA
• Maryalice D Surgenavic
• Victoria R. Sutphin, PA
• Milton Eduardo Swaby, M.D.
• Michele A Swan, CFNP
• Timothy P Sweeney
• Amy Switzer

• Surgery Physician in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.