Surgery One Ipa, Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

SURGERY ONE IPA, INC

Practice address

1003 E Wallace St
Orlando, FL 32809-5172

Phone

(407) 816-5031

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Timothy McManus

Title

Executive Director

Phone

(407) 816-5031

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1225216633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E WALLACE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095172",
            "telephone_number": "407-816-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E WALLACE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095172",
            "telephone_number": "407-816-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY ONE IPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-816-5031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrey Suprun, MD
• Sure Been Nice, Inc (A Place At Home)
• Sure Vision Centers of Florida
• Surebridge Medical
• Surgery Assistants of Orlando Inc
• Surgical Anesthesia Services Inc
• Surgical Excellence LLC
• Surgical Licensed Ward Partners LLP
• Michelle Suriel, APRN
• Suhei Nesmar Suro

• Contractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.