Organization Active NPI

Advanced Hand and Upper Extremity Surgery, P.C.

  • Orthopaedic Hand Surgery Physician
  • Cumming, GA
National Provider Identifier
1154564268
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
048368 Issued in GA
Legal business name
ADVANCED HAND AND UPPER EXTREMITY SURGERY, P.C.
Practice address
1505 Northside Boulevard
Suite 4500
Cumming, GA 30041
Phone
(937) 367-8229
Fax
(770) 664-7071
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
William Glenn Littlefield, M.D.
Title
Owner
Phone
(937) 367-8229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 048368 GA Primary

Addresses

Primary practice location

1505 Northside Boulevard
Suite 4500
Cumming, GA 30041

Mailing address

1505 Northside Boulevard
Suite 4500
Cumming, GA 30041
Phone (937) 367-8229

Other identifiers 1

IdentifierTypeStateIssuer
169900MedicaidOH

National Provider Directory

National Provider Directory

Locations

1505 Northside Blvd
Ste 4500
Cumming, GA 30041
Phone (678) 463-9060

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1154564268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BOULEVARD",
            "address_2": "SUITE 4500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "937-367-8229",
            "fax_number": "770-664-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BOULEVARD",
            "address_2": "SUITE 4500",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "937-367-8229",
            "fax_number": "770-664-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAND AND UPPER EXTREMITY SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "LITTLEFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-367-8229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": "048368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.