Surgical Associates of Smyth County, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101049504 Issued in VA

Legal business name

SURGICAL ASSOCIATES OF SMYTH COUNTY, PC

Practice address

1203 Snider St
Marion, VA 24354-4221

Phone

(276) 782-9113

Fax

(276) 782-9833

NPI assigned

Aug 13, 2006

Last updated

Feb 1, 2010By 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

Lyle W Bauman, M.D.NPI 1558373316

Title

President

Phone

(276) 782-9113

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyle W Bauman, M.D.

  • Surgery Physician
  • Marion, VA
  • NPI 1558373316
  Authorized official Same address or phone

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1316959612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SNIDER ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544221",
            "telephone_number": "276-782-9113",
            "fax_number": "276-782-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SNIDER ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544221",
            "telephone_number": "276-782-9113",
            "fax_number": "276-782-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SMYTH COUNTY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-782-9113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101049504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7367899",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "282451",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leska Stoots, PHARM D
• Karlee Strahorn, LCSW
• Katherine Paige Stuart, DDS
• James Richard Suhrbier Sr., R.PH.
• Harvey Eugene Sullivan III, M.D.
• Carson Sykes, OD
• T C K R Inc (Food City Pharmacy)
• Vimratha Teepireddy
• Mary Martha Teitelbaum, PA-C
• The Garzon Clinic

• Surgery Physician in Marion, VA
• Providers in Marion, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.