Ozark Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OZARK SURGICAL ASSOCIATES PC

Practice address

2126 W Roy Parker Rd # 207
Ozark, AL 36360-8566

Phone

(334) 443-0160

NPI assigned

Sep 9, 2022

Last updated

Sep 9, 2022By 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

Shawn Aisha Watts, MDNPI 1639358864

Title

Owner

Phone

(334) 443-0160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Shawn Watts, MD

  • Surgery Physician
  • Ozark, AL
  • NPI 1639358864
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1336860063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363611464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD # 207",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "334-443-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "AISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-443-0160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Counseling Center (Occ)
• Ozark Family Dental PC
• Ozark Health and Rehabilitation, LLC
• Ozark One-Hour Optical, Inc.
• Ozark Pharmacy LLC (Dalton Pharmacy)
• Holly Palmer, MS, OTR
• Rifat Parwaiz, M.D.
• Pathway, Inc.
• Ashton Pattberg, LPC
• Allison Bush Payne, DPT

• Surgery Physician in Ozark, AL
• Providers in Ozark, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.