Organization Active NPI

Martinsville Surgical Associates PC

  • Surgery Physician
  • Martinsville, VA
National Provider Identifier
1275729006
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MARTINSVILLE SURGICAL ASSOCIATES PC
Practice address
319 Hospital Dr
Suite 208
Martinsville, VA 24112-1929
Phone
(276) 656-2103
Fax
(276) 656-2105
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mrs. Kim T Joyce
Title
Office Manager
Phone
(276) 656-2103

Specialties & licenses 1

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

Addresses

Primary practice location

319 Hospital Dr
Suite 208
Martinsville, VA 24112-1929

Mailing address

319 Hospital Dr
Suite 208
Martinsville, VA 24112-1929
Phone (276) 656-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000524 VA Part B Supplier - Clinic/Group Practice 6608950050 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsville, VA

National Provider Directory

National Provider Directory

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1275729006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-656-2103",
            "fax_number": "276-656-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-656-2103",
            "fax_number": "276-656-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-656-2103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.

Verify at the official NPI Registry.