Organization Active NPI

The Surgical Clinic, PLLC

  • Prosthetic/Orthotic Supplier
  • Nashville, TN
National Provider Identifier
1548324403
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE SURGICAL CLINIC, PLLC
Practice address
410 42ND Ave N Ste 207
Nashville, TN 37209-3629
Phone
(615) 301-5264
NPI assigned
Dec 21, 2006
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE SURGICAL CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Aaron FitzsimmonsNPI 1396822151
Title
Prosthetist
Phone
(615) 301-5264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

410 42ND Ave N Ste 207
Nashville, TN 37209-3629

Mailing address

410 42ND Ave N Ste 207
Nashville, TN 37209-3629
Phone (615) 301-5264

Other identifiers 1

IdentifierTypeStateIssuer
1455160MedicaidTN

National Provider Directory

National Provider Directory
Part of
Surgical Clinic PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1548324403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 207",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093629",
            "telephone_number": "615-301-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 207",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093629",
            "telephone_number": "615-301-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SURGICAL CLINIC, PLLC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "615-301-5264"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455160",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.