Surgery Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

14294 Issued in MS

Legal business name

SURGERY CLINIC PA

Practice address

403 Doctors Dr
New Albany, MS 38652-3110

Phone

(662) 534-0890

Fax

(662) 534-6754

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Guy R Farmer, D.O.

Title

Surgeon/Owner

Phone

(662) 534-0890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1497146450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-534-0890",
            "fax_number": "662-534-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-534-0890",
            "fax_number": "662-534-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "662-534-0890",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "14294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New Albany, MS
• Providers in New Albany, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.