Organization Active NPI

Elite Surgical & Endoscopy Services, PLLC

  • Surgery Physician
  • Hixson, TN
National Provider Identifier
1285978445
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ELITE SURGICAL & ENDOSCOPY SERVICES, PLLC
Practice address
5251C Highway 153
#357
Hixson, TN 37343-4959
Phone
(423) 486-1900
Fax
(423) 486-1902
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Linda M. Pate
Title
M.D.
Phone
(423) 486-1900

Specialties & licenses 1

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

Addresses

Primary practice location

5251C Highway 153
#357
Hixson, TN 37343-4959

Mailing address

5251-C Highway 153
#357
Hixson, TN 37343-4959
Phone (423) 486-1900

National Provider Directory

National Provider Directory

Locations

5251 Highway 153
Ste 357C
Hixson, TN 37343

5251C Hixson Pike 357
Hixson, TN 37343

325 S Cedar Ave
Ste 2
South Pittsburg, TN 37380
Phone (423) 228-4170

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1285978445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251-C HIGHWAY 153",
            "address_2": "#357",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434959",
            "telephone_number": "423-486-1900",
            "fax_number": "423-486-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251C HIGHWAY 153",
            "address_2": "#357",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434959",
            "telephone_number": "423-486-1900",
            "fax_number": "423-486-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL & ENDOSCOPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "423-486-1900"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.