Southern Way Surgical Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

044201 Issued in CO

Legal business name

SOUTHERN WAY SURGICAL INC.

Practice address

200 S Wilcox St Ste 428
Castle Rock, CO 80104-1913

Phone

(281) 462-1285

Fax

(281) 462-1554

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By 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. Scott Comeaux, SA

Title

Owner

Phone

(281) 462-1285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1285967851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WILCOX ST STE 428",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041913",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WILCOX ST STE 428",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041913",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WAY SURGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "COMEAUX",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-462-1285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "044201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.