Active NPI
Advanced Hand and Upper Extremity Surgery, P.C.
- Orthopaedic Hand Surgery Physician
- Cumming, GA
National Provider Identifier
1154564268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 048368
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169900 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Advanced Dental Associates LLC
- Advanced Medical Soultions Pharmacy
- Advanced Park Wellness LLC
- Advanced Urology Institute of Georgia, PC
- Advanced Urology Institute of Georgia, PC
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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.