Oak Ridge Surgeons, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

NO STATE LIC FOR GRO Issued in TN

Legal business name

OAK RIDGE SURGEONS, P.C.

Practice address

120 Administration Rd
Oak Ridge, TN 37830-8822

Phone

(865) 483-7030

Fax

(865) 483-3954

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William S Dallas, MD

Title

President

Phone

(865) 483-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1295785970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-483-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "NO STATE LIC FOR GRO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721814",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Ridge Optical Dispensary
• Oak Ridge Pharmacy
• Oak Ridge Pharmacy
• Oak Ridge Radiation Oncology P LLC
• Oak Ridge Smiles Dentistry, PC (Oak Ridge Smiles Dentistry)
• Oak Ridge Urology Associates
• Oak Ridge Vision Center, Inc.
• Obstetric & Gyncologic Assocs of Oak Ridge
• Matthew Tyler Odom, MD
• Timothy R Oesch, M.D.

• Surgery Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.