Organization Active NPI

Surgical Group LLP

  • Surgery Physician
  • Rockledge, FL
National Provider Identifier
1235165556
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL GROUP LLP
Practice address
1007 Beverly Dr
Rockledge, FL 32955-2833
Phone
(321) 504-1000
Fax
(321) 632-1099
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Michael F Lane, M.D.NPI 1295766640
Title
President
Phone
(321) 504-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1007 Beverly Dr
Rockledge, FL 32955-2833

Mailing address

1007 Beverly Dr
Rockledge, FL 32955-2833
Phone (321) 504-1000

Other identifiers 1

IdentifierTypeStateIssuer
CD2994OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

Locations

1007 Beverly Dr
Rockledge, FL 32955
Phone (321) 504-1000

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1235165556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BEVERLY DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552833",
            "telephone_number": "321-504-1000",
            "fax_number": "321-632-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BEVERLY DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552833",
            "telephone_number": "321-504-1000",
            "fax_number": "321-632-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-504-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD2994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.