Organization Active NPI

Yadkin Valley Surgical, PLLC

  • Surgery Physician
  • Elkin, NC
National Provider Identifier
1467646992
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200501815 Issued in NC
Legal business name
YADKIN VALLEY SURGICAL, PLLC
Practice address
201B Eldon Parks Dr
Elkin, NC 28621-0000
Phone
(336) 835-2349
Fax
(336) 835-2541
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Timothy D Barron, MD
Title
Owner
Phone
(336) 835-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 200501815 NC Primary

Addresses

Primary practice location

201B Eldon Parks Dr
Elkin, NC 28621-0000

Mailing address

201B Eldon Parks Dr
Elkin, NC 28621-0000
Phone (336) 835-2349

National Provider Directory

National Provider Directory

Locations

201B Eldon Parks Dr
Elkin, NC 28621
Phone (336) 835-2349

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1467646992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201B ELDON PARKS DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286210000",
            "telephone_number": "336-835-2349",
            "fax_number": "336-835-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201B ELDON PARKS DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286210000",
            "telephone_number": "336-835-2349",
            "fax_number": "336-835-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADKIN VALLEY SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-835-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "200501815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.