Organization Active NPI

Huntingdon Surgical P.C

  • Specialist
  • Huntingdon, TN
National Provider Identifier
1609806355
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38761 Issued in TN
Legal business name
HUNTINGDON SURGICAL P.C
Practice address
641 RB Wilson Dr Ste J
Huntingdon, TN 38344-1734
Phone
(731) 986-8623
Fax
(731) 986-8625
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Calphor S. Carty, M.D.
Title
President
Phone
(731) 986-8623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 38761 TN Primary

Addresses

Primary practice location

641 RB Wilson Dr Ste J
Huntingdon, TN 38344-1734

Mailing address

641 RB Wilson Dr Ste J
Huntingdon, TN 38344-1734
Phone (731) 986-8623

Other identifiers 1

IdentifierTypeStateIssuer
3726020MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1609806355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 RB WILSON DR STE J",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441734",
            "telephone_number": "731-986-8623",
            "fax_number": "731-986-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 RB WILSON DR STE J",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441734",
            "telephone_number": "731-986-8623",
            "fax_number": "731-986-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGDON SURGICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "CARTY",
        "authorized_official_first_name": "CALPHOR",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-986-8623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "38761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726020",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.