Surgco, PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGCO, PLC

Practice address

107 Glen Oak Blvd Ste 201a
Hendersonville, TN 37075-3000

Phone

(615) 757-3367

Fax

(615) 757-3426

NPI assigned

Aug 24, 2020

Last updated

Nov 30, 2020By 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

Lisa Kay Page

Title

Credentialing Manager

Phone

(731) 693-3465

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1306459045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD STE 201A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753000",
            "telephone_number": "615-757-3451",
            "fax_number": "615-757-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD STE 201A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753000",
            "telephone_number": "615-757-3367",
            "fax_number": "615-757-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCO, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "731-693-3465"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000357",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059943",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumner Physician Practices LLC (Michael C. Diaz, MD)
• Tonya Renee Sumpkins, PTA
• Suncrest Companion Services, LLC (SunCrest Companion Services of Hendersonville)
• Sunshine Behavioral Health
• Allison Elizabeth Supko, PHARMD
• Caitlyn Sutton
• Renee Sutton
• Swan Surgical, PLLC
• Chad R Swan, MD
• Tatyana Sweat

• Surgery Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.