Surgery South LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

13626 Issued in AL

Legal business name

SURGERY SOUTH LLC

Doing business as

John O Issis MD Surgery South, LLC
SURGERY SOUTH LLC

Practice address

985 9TH Ave SW Ste 507
Bessemer, AL 35022-7814

Phone

(205) 481-7485

Fax

(205) 481-7494

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Shunnarah

Title

Office Manager

Phone

(205) 481-7485

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• John O Issis MD Surgery South, LLC Doing business as
• SURGERY SOUTH LLC Doing business as

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1437338886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 9TH AVE SW",
            "address_2": "SUITE 200",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227837",
            "telephone_number": "205-481-7485",
            "fax_number": "205-481-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 507",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227814",
            "telephone_number": "205-481-7485",
            "fax_number": "205-481-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "SHUNNARAH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-481-7485",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "13626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529901150",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7061",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John O Issis MD Surgery South, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SURGERY SOUTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.