The Surgery Clinic, LLC

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

Legal business name

THE SURGERY CLINIC, LLC

Practice address

1026 Goodyear Ave
Suite 50
Gadsden, AL 35903-1102

Phone

(256) 546-7507

Fax

(256) 492-8345

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Levin U Cooke

Title

Patient Account Manager

Phone

(256) 546-7507

Specialties & licenses 1

Addresses

Other names 1

• OMI of Gadsden Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Surgery Clinic, LLC

  • Surgery Physician
  • Gadsden, AL
  • NPI 1205893732

  O20110303000651

  Same enrollment
• Surgery Clinic, LLC

  • Surgery Physician
  • Jacksonville, AL
  • NPI 1780068460

  O20110303000651

  Same enrollment
• Surgery Clinic, LLC

  • Surgery Physician
  • Centre, AL
  • NPI 1851681183

  O20110303000651

  Same enrollment

Practitioners 2

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

• Charles L Newman, M.D.

  • Surgery Physician
  • Gadsden, AL
  • NPI 1093772162
  NPD
• Lucian Newman III, M.D.

  • Surgery Physician
  • Gadsden, AL
  • NPI 1639136716
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508070293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 50",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-546-7507",
            "fax_number": "256-492-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 50",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-546-7507",
            "fax_number": "256-492-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "LEVIN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "256-546-7507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMI of Gadsden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiologic Technologist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Radiologic Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.