Starkville Surgical Clinic PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

08215 Issued in MS

Legal business name

STARKVILLE SURGICAL CLINIC PA

Practice address

547 E Main St
Louisville, MS 39339-0358

Phone

(663) 773-8574

Fax

(662) 773-7934

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Raymond John Orgler Sr., MDNPI 1679583249

Title

President

Phone

(662) 773-8574

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Raymond John Orgler, M.D.

  • Surgery Physician
  • Louisville, MS
  • NPI 1679583249
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609963065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390358",
            "telephone_number": "662-773-8574",
            "fax_number": "662-773-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390358",
            "telephone_number": "663-773-8574",
            "fax_number": "662-773-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE SURGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORGLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-773-8574",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "08215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011566",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119388",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Nicole Shaw, CCC-SLP
• Brooke Smith
• Marquita Smith, MS
• William E Smith, DMD
• Southern Pharmaceutical Corporation (Quipt Home Medical Columbus)
• Stenen C Yarbrough DMD
• Linda Darlene Strickland, LPC
• Tiffany Strickland, FNP
• Valerie O'Briant Sullivan, F.N.P.
• Superior Smiles, LLC (Superior Smiles)

• Surgery Physician in Louisville, MS
• Providers in Louisville, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.