Cullman Surgical Associates, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9759 Issued in AL

Legal business name

CULLMAN SURGICAL ASSOCIATES, P.C.

Practice address

212 4TH Ave SE
Suite 100
Cullman, AL 35055-3673

Phone

(256) 739-6050

Fax

(256) 739-4921

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald Ray Marecle, M.D.NPI 1285600759

Title

President

Phone

(256) 739-6050

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2017165a-e6da-4297-96d2-0da8973a33da/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Ray Marecle, M.D.

  • Surgery Physician
  • Cullman, AL
  • NPI 1285600759
  Medicare reassignment Authorized official
• Charles Benny Lovelady, M.D., FACS

  • Surgery Physician
  • Rocky Mount, VA
  • NPI 1669496626
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1467603597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-739-6050",
            "fax_number": "256-739-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-739-6050",
            "fax_number": "256-739-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "MARECLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-739-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000035588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
            "identifier": "051035588",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035588",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cullman Regional Nurse Anesthetists, LLC
• Cullman Regional Orthopedics & Sports Medicine, PC
• Cullman Regional Pain Services LLC
• Cullman SNF Operations LLC
• Cullman Spine Institute Inc
• Cullman Urology, P C
• Cultivate Clinical Counseling, LLC
• Hunter Dale Cunningham, PHARMD
• Jennifer Kreps Cupp, CRNP
• Meagan Holt Curry, RN IBCLC

• Surgery Physician in Cullman, AL
• Providers in Cullman, 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 12, 2016; 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.