Active NPI
United Regional Surgical Group, LLC
- Surgery Physician
- Manchester, TN
National Provider Identifier
1366689390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- UNITED REGIONAL SURGICAL GROUP, LLC
- Practice address
- 1034 McArthur St
Manchester, TN 37355-2454 - Phone
- (931) 728-3445
- Fax
- (931) 461-2590
- NPI assigned
- Jan 13, 2009
- Last updated
- Jan 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark A Williams
- Title
- Attorney
- Phone
- (931) 728-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1034 McArthur St
Manchester, TN 37355-2454
Mailing address
1034 McArthur St
Manchester, TN 37355-2454
Phone (931) 728-3445
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1366689390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552454",
"telephone_number": "931-728-3445",
"fax_number": "931-461-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552454",
"telephone_number": "931-728-3445",
"fax_number": "931-461-2590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED REGIONAL SURGICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ATTORNEY",
"authorized_official_telephone_number": "931-728-0900"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
- Jonathan Christopher Tucker
- Donna E Tudor, NURSE PRACTITIONER
- Christopher William Turner
- Ujjagar PLLC (Garry Gill, M.D. Family Practice)
- United Regional Medical Center Nursing Home
- Unity Multi-Specialty Group
- Emilyann Van Zandbergen
- Taylor Sueanne Vandiver
- Vanguard of Manchester, LLC (Manchester Health Care Center)
- James Darrell Vanwinkle, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.