Surgical Clinics LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL CLINICS LTD

Practice address

834 N Seminary St
Suite 503
Galesburg, IL 61401-2852

Phone

(309) 343-7773

Fax

(309) 343-3839

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mark E Davis, MDNPI 1225079379

Title

President

Phone

(309) 343-7773

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Davis, M.D.,F.A.C.S.

  • Surgery Physician
  • Galesburg, IL
  • NPI 1225079379
  NPD Authorized official
• Sherri B Morrison, PA

  • Physician Assistant
  • Kankakee, IL
  • NPI 1285738500
  NPD (past)
• Rene Sherwin Parungao, MD

  • Surgery Physician
  • McHenry, IL
  • NPI 1942231667
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1265450134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 503",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 503",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-7773",
            "fax_number": "309-343-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-343-7773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "344670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Noel Stuart
• Hephzibah Sudhakar, PT
• Heather Sullivan, PHARMD.
• Timothy F Sullivan, CRNA
• Scott William Sunderland, MS, ATC
• Grant R. Swanson, DPT
• Laura L. Swanson, OT
• Douglas Swarts, RPH
• Tyler Swedeen
• Mark Joseph Switzer, L.AC.

• Surgery Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.