Organization Active NPI

Surgical Associates of Martin PC

  • Specialist
  • Martin, TN
National Provider Identifier
1164501862
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL ASSOCIATES OF MARTIN PC
Practice address
300 W Peach St
Martin, TN 38237-3949
Phone
(731) 587-2525
Fax
(731) 587-2555
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Patsy G Duncan
Title
Office Manager
Phone
(731) 587-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

300 W Peach St
Martin, TN 38237-3949

Mailing address

300 W Peach St
Martin, TN 38237-3949
Phone (731) 587-2525

Other identifiers 1

IdentifierTypeStateIssuer
3725673MedicaidTN

National Provider Directory

National Provider Directory

Locations

2002 Holiday Ln
#200
Fulton, KY 42041
Phone (270) 472-8088

Practitioners & affiliated clinicians

Practitioners 1

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1164501862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W PEACH ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373949",
            "telephone_number": "731-587-2525",
            "fax_number": "731-587-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PEACH ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373949",
            "telephone_number": "731-587-2525",
            "fax_number": "731-587-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MARTIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-587-2525"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725673",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.