NPIMap

Organization Active NPI

Surgeon & Associates, Inc.

  • Child & Adolescent Psychiatry Physician
  • Wadesboro, NC
National Provider Identifier
1174846562
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SURGEON & ASSOCIATES, INC.
Practice address
129 Wallace Rd
Wadesboro, NC 28170-2434
Phone
(910) 733-0617
Fax
(850) 515-0260
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Frederick D Surgeon
Title
Owner
Phone
(910) 733-0617

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

129 Wallace Rd
Wadesboro, NC 28170-2434

Mailing address

1125 Pony Dr
Hope Mills, NC 28348-9159
Phone (910) 733-0617

National Provider Directory

National Provider Directory
Tax ID family
Surgeon Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

129 Wallace Rd
Wadesboro, NC 28170
Phone (910) 322-9817

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1174846562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PONY DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489159",
            "telephone_number": "910-733-0617",
            "fax_number": "850-515-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WALLACE RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702434",
            "telephone_number": "910-733-0617",
            "fax_number": "850-515-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGEON & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SURGEON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-733-0617"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.