Organization Active NPI

Coosa Valley Surgical Associates

  • Surgery Physician
  • Sylacauga, AL
National Provider Identifier
1346352002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COOSA VALLEY SURGICAL ASSOCIATES
Practice address
209 W Spring St Ste 300
Sylacauga, AL 35150-2976
Phone
(256) 245-8100
Fax
(205) 986-0081
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James L Crook
Title
Provider/Owner
Phone
(256) 245-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

209 W Spring St Ste 300
Sylacauga, AL 35150-2976

Mailing address

209 W Spring St Ste 300
Sylacauga, AL 35150-2976
Phone (256) 245-8100

National Provider Directory

National Provider Directory

Locations

209 W Spring St
Ste 300
Sylacauga, AL 35150
Phone (256) 208-0060

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346352002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 300",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "256-245-8100",
            "fax_number": "205-986-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 300",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "256-245-8100",
            "fax_number": "205-986-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA VALLEY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "256-245-8100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • 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.