Organization Active NPI

Noblejazz, Inc

Doing business as Surgical Specialists Associated

  • Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1548591076
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NOBLEJAZZ, INC
Doing business as
Surgical Specialists Associated
Practice address
3320 Thomasville Rd Ste 302
Tallahassee, FL 32308-7971
Phone
(775) 842-2903
NPI assigned
Jan 22, 2010
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Wesley Blake Vanderlan, MDNPI 1609097898
Title
Physician
Phone
(775) 842-2903

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

3320 Thomasville Rd Ste 302
Tallahassee, FL 32308-7971

Mailing address

3320 Thomasville Rd Ste 302
Tallahassee, FL 32308-7971
Phone (775) 842-2903

Other names 1

  • Surgical Specialists Associated Doing business as

National Provider Directory

National Provider Directory

Locations

3320 Thomasville Rd
Ste 302
Tallahassee, FL 32308
Phone (504) 391-8320

Practitioners & affiliated clinicians

Practitioners 2

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": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1548591076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 THOMASVILLE RD STE 302",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087971",
            "telephone_number": "775-842-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 THOMASVILLE RD STE 302",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087971",
            "telephone_number": "775-842-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLEJAZZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "VANDERLAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "775-842-2903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Specialists Associated",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Specialists Associated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.