Surgical Innovations, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SURGICAL INNOVATIONS, LLC

Practice address

163 Business Park Dr
Suite #10
Lebanon, TN 37090-1241

Phone

(615) 547-9077

NPI assigned

Jul 21, 2011

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shane Durkee, VICE PRESIDENT

Title

Vice President

Phone

(770) 344-9819

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1629356878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BUSINESS PARK DR",
            "address_2": "SUITE #10",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370901241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BUSINESS PARK DR",
            "address_2": "SUITE #10",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370901241",
            "telephone_number": "615-547-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "DURKEE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-344-9819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VICE PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.