Active NPI
Key West Surgical Group Inc
- Specialist
- Key West, FL
National Provider Identifier
1215039409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KEY WEST SURGICAL GROUP INC
- Practice address
- 3136 Norhtside Drive
Key West, FL 33040-8027 - Phone
- (305) 294-1041
- Fax
- (305) 293-0990
- NPI assigned
- Sep 1, 2006
- 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
- Ana C Segura-Garcia
- Title
- Billing-Coding
- Phone
- (305) 294-1041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
3136 Norhtside Drive
Key West, FL 33040-8027
Mailing address
3136 Norhtside Drive
Key West, FL 33040-8027
Phone (305) 294-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255847500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3136 Northside Dr
Key West, FL 33040
Phone (305) 294-1041
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Key West, FL
- NPI 1568564771
-
- Trauma Surgery Physician
- Kansas City, MO
- NPI 1013941202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1215039409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 NORHTSIDE DRIVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408027",
"telephone_number": "305-294-1041",
"fax_number": "305-293-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 NORHTSIDE DRIVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408027",
"telephone_number": "305-294-1041",
"fax_number": "305-293-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY WEST SURGICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SEGURA-GARCIA",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BILLING-CODING",
"authorized_official_telephone_number": "305-294-1041"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255847500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.