NPIMap

Organization Active NPI

University Surgical Associates, LLC

Doing business as USA Prosthetics

  • Prosthetist
  • Chattanooga, TN
National Provider Identifier
1477876746
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PRO183 Issued in TN
Legal business name
UNIVERSITY SURGICAL ASSOCIATES, LLC
Doing business as
USA Prosthetics
Practice address
2108 E 3Rd St
Suite 100
Chattanooga, TN 37404-2600
Phone
(423) 493-2395
Fax
(423) 493-2365
NPI assigned
Mar 1, 2010
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Michael Greer, MDNPI 1215921945
Title
President
Phone
(423) 267-0466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PRO94 TN
Prosthetist 224P00000X PRO183 TN Primary

Addresses

Primary practice location

2108 E 3Rd St
Suite 100
Chattanooga, TN 37404-2600

Mailing address

2108 E 3Rd St
Suite 100
Chattanooga, TN 37404-2600
Phone (423) 493-2395

Other identifiers 1

IdentifierTypeStateIssuer
1518526MedicaidTN

Other names 1

  • USA Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930056468 TN DME Supplier - Physician - General SurgeryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0547242521 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chattanooga, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2108 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 493-2395

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1477876746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E 3RD ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042600",
            "telephone_number": "423-493-2395",
            "fax_number": "423-493-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E 3RD ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042600",
            "telephone_number": "423-493-2395",
            "fax_number": "423-493-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-267-0466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO94",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518526",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USA Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.