Sursum Corda, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31207 Issued in WI

Legal business name

SURSUM CORDA, SC

Practice address

900 S. Webster Avenue
Green Bay, WI 54301

Phone

(920) 431-3140

Fax

(920) 431-3142

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward J. Coleman, M.D.

Title

President

Phone

(920) 431-3140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1598885303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S. WEBSTER AVENUE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-431-3140",
            "fax_number": "920-431-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S. WEBSTER AVENUE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-431-3140",
            "fax_number": "920-431-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURSUM CORDA, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-431-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "31207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R Summerside, MD
• Sunridge Dental LLC
• Cynthia L Suplinski, APNP
• Anusha Surender, M.D.
• Surgical Specialist of Green Bay Inc.
• Susan Norton
• Lauralyn Beth Sutrick, PTA
• Lara Sutton, OTR
• Mitchell Dale Sutton, DC
• Jonathan Swanson, D.C.

• Surgery Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.