NPIMap

Organization Active NPI

Southside Neurosurgical Associates

  • Medical Specialty Clinic/Center
  • Martinsville, VA
National Provider Identifier
1114182789
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101044792 Issued in VA
Legal business name
SOUTHSIDE NEUROSURGICAL ASSOCIATES
Practice address
319 Hospital Dr
Suite 107
Martinsville, VA 24112-1929
Phone
(434) 799-6200
Fax
(434) 799-6606
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mr. Joel Michael Singer, M.D. PHD
Title
President
Phone
(434) 799-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0101044792 VA Primary

Addresses

Primary practice location

319 Hospital Dr
Suite 107
Martinsville, VA 24112-1929

Mailing address

319 Hospital Dr
Suite 107
Martinsville, VA 24112-1929
Phone (276) 632-0944

National Provider Directory

National Provider Directory

Locations

201 S Main St
Ste 310
Danville, VA 24541
Phone (804) 799-6200

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1114182789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 107",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-632-0944",
            "fax_number": "276-632-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 107",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "434-799-6200",
            "fax_number": "434-799-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE NEUROSURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-799-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D. PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101044792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.