Waterdam Surgical Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD031675E Issued in PA

Legal business name

WATERDAM SURGICAL ASSOCIATES, PC

Practice address

242 E McMurray Rd
McMurray, PA 15317-2963

Phone

(724) 942-3202

Fax

(724) 942-4377

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eugene J. Hammell, MD

Title

President/Owner

Phone

(724) 942-3202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316969389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E MCMURRAY RD",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172963",
            "telephone_number": "724-942-3202",
            "fax_number": "724-942-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E MCMURRAY RD",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172963",
            "telephone_number": "724-942-3202",
            "fax_number": "724-942-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERDAM SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMELL",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-942-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD031675E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in McMurray, PA
• Providers in McMurray, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.