Winder Surgical Specialist

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

028396 Issued in GA

Legal business name

WINDER SURGICAL SPECIALIST

Practice address

314 N Broad St
Suite 350
Winder, GA 30680-2191

Phone

(770) 307-1305

Fax

(770) 307-1522

NPI assigned

May 1, 2008

Last updated

Jun 4, 2008By 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

Cesar Medalla Delima, M.D.

Title

Provider

Phone

(770) 307-1305

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Judith D Delima, M.D.

  • Pediatrics Physician
  • Monroe, GA
  • NPI 1558397455
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1639345507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1169",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801169",
            "telephone_number": "770-307-1305",
            "fax_number": "770-307-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "SUITE 350",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802191",
            "telephone_number": "770-307-1305",
            "fax_number": "770-307-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDER SURGICAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "DELIMA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "MEDALLA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-307-1305",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "028396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000324244D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52238010",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winder Hma Inc
• Winder Hma LLC
• Winder Internal Medicine and Geriatrics Center PC
• Winder Medical PA
• Winder Nursing Inc (Winder Health Care & Rehab Center)
• Michelle D Winham, ATC
• Jennifer Won, D.D.S.
• Austin Wood, EDS
• Valerie Lynn Wood, LCSW
• Virginia A Woodward, LCSW

• Surgery Physician in Winder, GA
• Providers in Winder, GA by specialty
• Surgery Physician in Georgia

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